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Health Insurance Credentialing Manager
A company is looking for a Health Insurance Contracting/Credentialing Manager. Key Responsibilities Manage documentation for licensing and credentialing applications and insurance agreements Develop, negotiate, and manage contracts related to products and services Monitor contract performance and ensure compliance with applicable laws and regulations Required Qualifications Bachelor's degree in Business, Finance, or Healthcare Administration or equivalent experience Minimum of three years of negotiation or related experience in the healthcare or managed care industry Knowledge of managed care systems and relevant regulations (HIPAA, Anti-Kickback, etc.) Experience in contracting, provider relations, or provider reimbursement Strong project management abilities and understanding of legal, business, and insurance operations principles
A company is looking for a Health Insurance Contracting/Credentialing Manager.
Key Responsibilities
Manage documentation for licensing and credentialing applications and insurance agreements
Develop, negotiate, and manage contracts related to products and services
Monitor contract performance and ensure compliance with applicable laws and regulations
Required Qualifications
Bachelor's degree in Business, Finance, or Healthcare Administration or equivalent experience
Minimum of three years of negotiation or related experience in the healthcare or managed care industry
Knowledge of managed care systems and relevant regulations (HIPAA, Anti-Kickback, etc.)
Experience in contracting, provider relations, or provider reimbursement
Strong project management abilities and understanding of legal, business, and insurance operations principles