Network Development Manager

VieMed Healthcare

Date: 3 days ago
City: Lafayette, Louisiana
Contract type: Full time
Key Responsibilities:

  • 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
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