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Job Details

Requisition Number 18-0306
Post Date 6/25/2018
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).
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