Colombia Job Openings
Specialty Care Clinics
Contracting and Credentialing Manager
Bogota
FULL TIME
August 29, 2024
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.
- 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.
- Competitive salary ranging from COP $3,000,000 to $4,500,000 monthly, based on experience and qualifications.
- A collaborative and supportive work environment.
We look forward to your application!
Job Type: Full-time
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