Contract Negotiation: Lead negotiations with insurance carriers to secure favorable terms and rates for the organization, informed by a deep understanding of both present and emerging carrier priorities.
Credentialing Management: Oversee the credentialing process for all VieMed Inc. companies, ensuring timely and accurate completion of applications and renewals.
Compliance: Ensure all contracts and credentialing activities comply with federal, state, and local regulations.
Relationship Management: Maintain and strengthen relationships with insurance carriers, healthcare providers, and other stakeholders by proactively engaging with carriers to understand their evolving business models and strategic goals.
Data Analysis: Analyze contract performance and credentialing metrics to identify opportunities for improvement and cost savings.
Team Leadership: Manage and mentor a team of contracting and credentialing specialists, providing guidance and support to achieve departmental goals.
Problem Solving: Address and resolve issues related to insurance contracts and credentialing in a timely manner.
Reporting: Prepare and present regular reports on contract status, credentialing progress, and performance metrics to senior management.
Qualifications:
Education: Bachelor's degree in healthcare administration, business, or a related field preferred.
Experience: Minimum of 5 years of experience in insurance contracting and credentialing within the healthcare industry.
Skills: Strong negotiation, analytical, and communication skills. Proficiency in healthcare regulations and compliance.
Certifications: Relevant certifications in healthcare management or credentialing are a plus.
Working Conditions:
Environment: Office setting with occasional travel to meet with insurance carriers and healthcare providers.
Hours: Full-time, with flexibility to address urgent issues as needed.
Benefits:
Competitive salary and benefits package
Opportunities for professional development and advancement
Collaborative and supportive work environment
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
Equal employment opportunity, including veterans and individuals with disabilities.
