Perform the operational credentialing process, maintaining the provider network and onboarding new providers to ensure network adequacy, sizing, and formation.
Maintain relationships with providers.
Consolidate and organize reports on provider network relations.
Contribute to systemic improvements of various processes and/or reports within the area, and conduct effective negotiations with the provider network.
Promote, control, and maintain credentialing activity requests in the systems that support these activities.
Prepare and keep reports updated to support management of the provider network (global and by cells).
Requirements
Bachelor's degree in Business Administration or related fields.
Proficiency in Microsoft Office.
Experience in credentialing activities within dental and/or health plan operators.
Excellent verbal and written communication, teamwork, and strong interpersonal skills.
Knowledge of the TUSS table (dental).
Experience working in a clinical practice and/or health plan operator.
Familiarity with Salesforce.
Skill in using and interpreting Power BI.
Benefits
Meal allowance or food voucher
Discounts on courses, universities and language schools
Stefanini Academy - platform with free, up-to-date online courses with certificates
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