Credentialing Manager
Posted 3 months ago
Worldwide
120K - 200K per month
⭐
2-5 years experience
Please mention DailyRemote when applying
AI Summary
The manager will oversee the entire contracting lifecycle, including net-new contracting, renegotiations, and contracting for new services, while building out a contract management platform using a CRM. Key duties involve leading contract discussions with managed care organizations, developing rate and language proposals, and making recommendations on proposed agreements.
Job Description
Contracting Manager – Remote & US
Infina Health is seeking an experienced Contracting Manager to join our team. As a member of our team, you will play a crucial role in overseeing the entire contracting lifecycle, from net-new contracting to renegotiating contracts and contracting for new services. This is an expanding role and has room for growth for the right person willing to roll up their sleeves and build a capability from the ground up.
Responsibilities
- Build a contracting process and build out a contract management platform using a CRM
- Collaborate with leadership, identify appropriate contracting and re-contracting opportunities
- Initiates discussions with key constituents as related to new relationships or service lines
- Leads contract discussions with managed care organizations, including rate and language negotiations
- Leads development of rate and language proposals.
- Make sound recommendations to leadership for accepting/rejecting proposed agreements.
- Participates in special projects as needed
- Evaluates feasibility of program development as it pertains to payer operational requirements
- Stays abreast of changing healthcare landscape to maintain an awareness of competitor services and reimbursement models
- Find opportunities for improvement in the financial and operational aspects of managed care contracts
Job Requirements
- At least 3 years’ Payer Contracting experience
- Experience in Ambulance industry is preferred, but not required as the contracting is straightforward
- Ability to build and manage a process
- Ability to operate independently, entrepreneurial.
- Ability to build a capability from the ground up
- Excellent communication and presentation skills.
- Attention to detail and accuracy in data analysis.
Compensation and Benefits
- Competitive salary based on experience and qualifications.
- Opportunities for professional development and growth within the company.
- The change to work remotely with highly talented individuals for career growth and advancement.
- International exposure to cutting-edge work experience
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