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Credentialing Analyst

Indeed

Company

Job typeFull-time
Workplace typeOnsite
Experience levelNo experience limit
Education levelBachelor's Degree

Description

**Description and Responsibilities:** **Working Hours:** Monday to Friday, from 08:30 to 17:45 **Level:** Operational **Employment Type:** Permanent – CLT * Credentialing, de-credentialing, and re-registration of service providers; * Documental and contractual analysis; * Negotiation with service providers and support in fee adjustments; * Management and updating of the credentialed network; * Monitoring of departmental indicators and processes. **Requirements:** * Completed bachelor's degree in Administration, Hospital Management, Economics, or related fields; * Experience in credentialing or supplementary health; * Experience in negotiation and contract management; * Knowledge of reimbursement tables and models (CBHPM, TUSS, packages, among others). **Preferred Qualifications** * Postgraduate degree in the field; * Knowledge of ANS regulations, BI tools, and healthcare cost analysis; * Experience in projects for expanding and qualifying the provider network. **Benefits:** Medical assistance, Gym allowance, Life insurance, Culture voucher, Meal allowance, Food voucher, Transportation voucher

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Posted by

João Silva

Indeed · HR

Location

João Silva

Indeed · HR

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