Director of Payor Contracting and Credentialing

JOB SUMMARY

Boa Vida Healthcare is a hospital management company that currently has 3 hospitals and over 100 providers in three states. We are looking for an experienced Director to lead our Payor Contracting and Credentialing department. This person oversees the contracting/credentialing/recredentialing process for our facilities, clinics, and providers. This position currently has two direct reports.

CORE DUTIES AND RESPONSIBILITIES:

· Conducts negotiations with Payors on behalf of our hospitals, clinics and providers.

· Perform required recredentialing/recertification as needed for each of the Payors.

· Assist Revenue Cycle in loading the contracts into the Contract Management application.

· Work with Revenue Cycle to determine which Payors a specific clinic should contract with based on the local market.

· Work with our Privileging staff to keep the provider files current.

· Other duties as assigned.

SKILLS AND ABILITIES:

· Thorough understanding of healthcare regulations.

· Ability to perform contract modeling.

· Understanding of healthcare reimbursement payment methodologies.

· Strong problem solving and quantitative abilities.

· Excellent communication and collaboration skills.

· Attention to detail.

Minimum Qualifications

Education/Training

· Progressive experience with hospital and clinic Payor Contracting and Credentialing procedures with a minimum of 3 – 5 years.

· Managerial experience 3 – 5 years

· Bachelor degree preferred (or equivalent work experience) in business, or related health care discipline.

Job Type: Full-time

Pay: $130,000.00 - $160,000.00 per year

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

Work Location: Remote