Credentialing Manager – Remote

2 weeks ago


Manila, National Capital Region, Philippines Infina Health Full time

Job Description

Contracting Manager – Remote & US

Infina Health is seeking an experienced Contracting Manager to join our team. As a member of our team, you will play a crucial role in overseeing the entire contracting lifecycle, from net-new contracting to renegotiating contracts and contracting for new services. This is an expanding role and has room for growth for the right person willing to roll up their sleeves and build a capability from the ground up.

Responsibilities

  • Build a contracting process and build out a contract management platform using a CRM
  • Collaborate with leadership, identify appropriate contracting and re-contracting opportunities
  • Initiates discussions with key constituents as related to new relationships or service lines
  • Leads contract discussions with managed care organizations, including rate and language negotiations
  • Leads development of rate and language proposals.
  • Make sound recommendations to leadership for accepting/rejecting proposed agreements.
  • Participates in special projects as needed
  • Evaluates feasibility of program development as it pertains to payer operational requirements
  • Stays abreast of changing healthcare landscape to maintain an awareness of competitor services and reimbursement models
  • Find pportunities for improvement in the financial and operational aspects of managed care contracts

Job Requirements

  • At least 3 years' Payer Contracting experience
  • Experience in Ambulance industry is preferred, but not required as the contracting is straightforward
  • Ability to build and manage a process
  • Ability to operate independently, entrepreneurial.
  • Ability to build a capability from the ground up
  • Excellent communication and presentation skills.
  • Attention to detail and accuracy in data analysis.

Compensation and Benefits

  • Competitive salary based on experience and qualifications.
  • Opportunities for professional development and growth within the company.
  • The change to work remotely with highly talented individuals for career growth and advancement.
  • International exposure to cutting-edge work experience

Job Type: Full-time

Pay: Php55, Php78,000.00 per month

Experience:

  • Contracting Manager: 5 years (Preferred)

#J-18808-Ljbffr

  • Manila, National Capital Region, Philippines Skilled Wound Care Full time

    Come and join Skilled Wound Care where an exciting career awaits you Skilled Wound Care, a leading national surgical physician group servicing nursing homes for wound care, ostomy care, and minor skin care, is looking to hire an Credentialing Coordinator to assist in the contracting and credentialing process for physicians and health practitioners. We are...


  • Manila, National Capital Region, Philippines MicroSourcing Full time

    Medical Administration (Healthcare & Medical) With more than 9,000 professionals across 11 delivery centers in the Philippines, MicroSourcing remains the country's largest provider of offshoring solutions.Credentialing Specialist , be 100% YOU with MicroSourcingA Credentialing Specialist is expected to:The Credentialing Specialist will be responsible for...


  • Manila, National Capital Region, Philippines IFIVE INC. Full time

    Job DescriptionHighlights Competitive compensation and benefits packages Continuous professional development and learning opportunities Regular engagement activities and events ______________________________________________________________ LICENSING & CREDENTIALING SPECIALIST Work for our global clients and immerse in our rich and diverse company culture...


  • Manila, National Capital Region, Philippines Theoriamedical Full time

    APPLY TODAY*******Company OverviewTheoria Medical is a comprehensive medical group and technology company dedicated to serving patients across the care continuum with an emphasis on post-acute care and primary care. Theoria serves facilities across the United States with a multitude of services to improve the quality of care delivered, refine facility...

  • Account Executive

    2 weeks ago


    Manila, National Capital Region, Philippines Remote Full time

    What this job can offer youSales helps our prospective customers and active customers to fully experience our Global HR Platform We are the team that responds to incoming queries and helps customers understand how to maximize Remote's full suite of products to meet their employment needs. We enable them to embody our value of Transparency and we have a fair...


  • Manila, National Capital Region, Philippines Theoria Medical Full time

    Theoria Medical is a comprehensive medical group and technology company dedicated to serving patients across the care continuum with an emphasis on post-acute care and primary care. Theoria serves facilities across the United States with a multitude of services to improve the quality of care delivered, refine facility processes, and enhance critical...

  • Remote Rust Developer

    4 weeks ago


    Manila, National Capital Region, Philippines Proxa Full time

    HENCE is a distributed systems R&D lab that is developing an open-source protocol, network, and incentive layer for interoperable high-performance blockchains. We have been heads-down for the past year and will be publishing our first technical research papers in the coming months. Joining HENCE at this stage is an opportunity to have an impact while working...


  • Manila, National Capital Region, Philippines Torpedo Talent Full time

    Job Title: Project ManagerRemoteCANDIDATES MUST BE FILIPINO CITIZENS LIVING IN THE PHILIPPINESSalary: $1300 -$1700 USDWork Hours: Monday to Friday Eastern TimeAs a Remote Project Manager, you will be responsible for overseeing projects from inception to completion, ensuring they are delivered on time, within budget, and meet the client's expectations. You...


  • Manila, National Capital Region, Philippines Remote VA PH Full time

    Position Overview:We are seeking a skilled Graphic Designer to join our remote team. The ideal candidate will be passionate about design, possess a strong creative vision, and have the ability to translate concepts into compelling visual experiences. This role offers the opportunity to work on exciting projects across various platforms and mediums,...


  • Manila, National Capital Region, Philippines PrimeSync Solutions Full time

    About PrimeSync SolutionsPrimeSync Solutions is a fast growing Business Process Outsourcing (BPO) company that excels in delivering innovative solutions to our clients. Committed to excellence, We're looking for individuals with a background in high volume recruitment, particularly in BPO or call center environments. About the Job:As a CPA working remotely,...


  • Manila, National Capital Region, Philippines Sagan Full time

    Job Title: Remote Sales Assistant Location: Remote (Global - PST Timezone)Work Schedule: Monday to Friday 7 AM to 3 PM PSTReports To: Sales Manager Job Summary: The sales assistant will be an integral part of our team, handling responsibilities that support outbound sales efforts. This role is perfect for someone who thrives in a fast-paced environment and...


  • Manila, National Capital Region, Philippines EXUS Ltd Full time

    EXUS is the global leader in improving debt collections results through technology. With its team of experts spanning 4 continents, EXUS has been serving financial institutions for over two decades in more than 40 countries. Consistent with our goal of becoming the most admired company globally in the Debt Collections software market, EXUS has been...

  • General Manager

    2 weeks ago


    Manila, National Capital Region, Philippines Remote VA PH Full time

    As a General Manager, you will be responsible for providing strategic leadership and direction to our organization, ensuring effective management of resources, and achieving business objectives. You will work closely with department heads and senior management to develop and implement strategies, policies, and initiatives that support our mission and...


  • Manila, National Capital Region, Philippines Go Remote Staff Pty Ltd Full time

    We are currently seeking a dedicated Administrative Assistant to join our dynamic team on a full-time basis. This opportunity offers a permanent remote setup under an Independent Contract and will work with one of our esteemed Australian client in the Construction Industry.As an Administrative Assistant, you will play a crucial role in supporting our...


  • Manila, National Capital Region, Philippines Urrly Full time

    Become a Remote Leasing Agent and Grow Your CareerAre you a motivated leasing expert with excellent English skills? Our client is seeking a Remote Leasing Agent to handle inbound leads and close deals after hours. Be the driving force behind the scenes and make an impact from wherever you areWhat You'll Be Doing:Respond to all inbound leads via phone, email,...


  • Manila, National Capital Region, Philippines Torpedo Talent Full time

    Job Title:Recruitment Specialist RemoteCANDIDATES MUST BE FILIPINO CITIZENS LIVING IN THE PHILIPPINESSalary: $900 -$1100 USDWork Hours: Monday to Friday 8:30am-5pm Pacific TimeContract Details: Full Time, PermanentTorpedo Talentis a dynamic headhunter company dedicated to hiring top Filipino talent. We pride ourselves on fostering a culture of innovation,...


  • Manila, National Capital Region, Philippines PrimeSync Solutions Full time

    About PrimeSync Solutions PrimeSync Solutions is a fast growing Business Process Outsourcing (BPO) company that excels in delivering innovative solutions to our clients. Committed to excellence, We're looking for individuals with a background in high volume recruitment, particularly in BPO or call center environments. About the Job: As a CPA working...


  • Manila, National Capital Region, Philippines CG Tech Services, Inc Full time

    About Us:Located in Seattle, Washington in the United States, CG Tech Services is an IT services and consulting firm focused on providing expert, enterprise-level IT support, cybersecurity, and regulatory compliance services that are right-sized for businesses and not-for-profits with 5-1,000 computers. We are looking for humble, motivated, and emotionally...


  • Manila, National Capital Region, Philippines PrimeSync Solutions Full time

    Join our team as an Inbound Customer Service Representative and work from the comfort of your home If you're passionate about providing exceptional customer experiences and thrive in a remote work environment, we want to hear from you. Apply now and take the first step towards an exciting career with our fast-growing BPO company About PrimeSync Solutions...


  • Manila, National Capital Region, Philippines PrimeSync Solutions Full time

    About PrimeSync SolutionsPrimeSync Solutions is a fast growing Business Process Outsourcing (BPO) company that excels in delivering innovative solutions to our clients. Committed to excellence, we are seeking a highly experienced Lead Generator Virtual Assistant.Role Overview:As aLead Generator Virtual Assistant you will be responsible for conducting...