Senior Contracting Manager

1 month ago


Buffalo, New York, United States Elderwood Full time
Contracting and Credentialing Manager

Elderwood is seeking a highly skilled Contracting and Credentialing Manager to join our team. This role will be responsible for managing the entire contracting process, from initial engagement with providers to finalizing contract language and rate setting.

Key Responsibilities:

  • Seek opportunities to engage new contracts for Elderwood and partnered health plans.
  • Manage the contracting process, including negotiation and contract review.
  • Conduct business reviews of provider contracts and coordinate with legal and internal stakeholders.
  • Oversee the signature and countersignature contract process.
  • Interface with various departments to develop contractual proposals.
  • Evaluate scenarios and present recommendations to senior leadership.
  • Collaborate with other key staff to resolve operational issues and improve processes.
  • Develop and maintain reimbursement tools and contract status summaries.

Requirements:

  • Bachelor's degree required.
  • Minimum 5-7 years of experience in provider or health plan setting.
  • Experience in credentialing, reimbursement, contract review, or data analysis.
  • Critical thinking and analytical skills required.
  • Familiarity with industry standard reimbursement methodologies and federal/state laws.
  • Strong interpersonal and communication skills.

About Elderwood:

Elderwood is a growing organization seeking talented professionals to join our team. We offer a Monday-Friday schedule, hybrid working options, and a comprehensive benefits package.



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