Contracting and Credentialing Manager
hace 2 meses
**Responsibilities**:
- **Manage contracting processes**: Oversee the negotiation, development, and management of contracts with healthcare providers, insurance companies, and other third parties.
- **Credentialing and re-credentialing**: Ensure that all healthcare providers are properly credentialed according to organizational policies and regulatory requirements. Manage the re-credentialing process to maintain compliance.
- **Ensure regulatory compliance**: Maintain up-to-date knowledge of local and international healthcare regulations, accreditation standards, and industry best practices to ensure all contracts and credentialing processes meet these requirements.
- **Coordinate with internal teams**: Collaborate with legal, compliance, and human resources departments to ensure that all contracts are aligned with organizational goals and regulatory standards.
- **Database management**: Maintain and update provider databases, ensuring accurate and up-to-date information is available at all times.
- **Audit and monitor**: Conduct regular audits of contracts and credentialing files to ensure completeness, accuracy, and compliance. Address any discrepancies or issues as needed.
- **Vendor and provider relations**: Build and maintain positive relationships with healthcare providers, vendors, and other external partners to facilitate smooth contracting and credentialing processes.
- **Reporting**: Prepare and present regular reports to senior management on contracting and credentialing activities, including compliance status, contract renewals, and credentialing timelines.
**Requirements**:
- Proven experience in a contracting and credentialing role within the healthcare industry.
- Strong knowledge of healthcare regulations, accreditation standards, and compliance requirements in Colombia.
- Excellent organizational and communication skills.
- Strong attention to detail and ability to manage multiple tasks and priorities.
- Experience with credentialing software and contract management systems.
- Ability to work effectively both independently and as part of a team.
- Strong negotiation and relationship-building skills.
**Benefits**:
- Competitive salary ranging from COP $3,000,000 to $4,500,000 monthly, based on experience and qualifications.
- A collaborative and supportive work environment.
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