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Requisition Number 19-0390
Post Date 9/9/2019
Title Contracting, Credentialling & Quality Specialist
City Jamestown & Dunkirk
State NY
Description To oversee insurance contracting, credentialing and quality for designated clinic environments. To oversee the development and ongoing maintenance processes of all insurance contracts in order to keep pace with ever-changing contractual arrangements, incentive terms to ensure consistent management of all proposals and contracts. Responsible for all aspects of the credentialing, re-credentialing and privileging processes for all designated providers. Responsible to oversee all aspects of the quality assurance quality improvement processes in designated areas.
Requirements Bachelor’s degree in business, healthcare management or related field preferred. An advanced degree may be desirable.)

Experience and certifications can be substituted for degree as applicable i.e. Certified Provider Credentialing Specialist (CPCS).
  • Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities.
  • Please view Equal Employment Opportunity Posters provided by OFCCP here.
  • The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)
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