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Founded in 2004 and led by CEO Steve Chapman, Natera is a company in the biotechnology market that offers genetic testing and diagnostics on a global scale. Operating from its head
Manager, Payor Credentialing
Location
United States
Posted
75 days ago
Salary
$121.4K - $151.7K / year
Seniority
Senior
Job Description
Manager, Payor Credentialing
Natera
• Responsible for working on the day-to-day requirements of Payer Credentialing and Enrollments. • Determine without guidance what needs to be worked on and prioritized. • Partner with the team lead to focus on optimizing revenue, standardizing processes, building and maintaining strong payer relationships, and ensuring positive internal and external client experiences. • Holding a major role of responsibility with a high-performing payer credentialing team, fostering a culture of accountability, collaboration, and continuous improvement. • Continuously evaluate and improve existing payer enrollment processes and systems, leveraging technology, vendors, and best practices to enhance quality and productivity. • Monitor industry trends and regulatory changes to proactively adjust processes and ensure continued compliance. • Comply with all State and Federal Laws regarding an effective Compliance Program, inclusive of HIPAA Privacy and Security. • Adhere to the organization's Code of Conduct and be familiar with all compliance policies and procedures relevant to this position. • Hold oneself accountable for completing all activities in a timely manner.
Job Requirements
- Bachelor's degree, required.
- Demonstrated success in credentialing.
- Exceptional problem-solving skills and the ability to think strategically and execute operational initiatives.
- Strong communication, interpersonal, and leadership skills, with the ability to effectively manage cross-functional relationships.
- Proven track record in managing provider data management systems, client, and payer relationships.
- In-depth knowledge of credentialing processes, regulatory requirements, and healthcare industry standards.
- 5-7 years of Credentialing Management experience in a managed care or healthcare environment. Laboratory credentialing experience is required.
- Proficiency with MS Office, Adobe Acrobat, Google Workspace, and Salesforce applications. Monday.com, and Smartsheet software knowledge is a plus.
Benefits
- Comprehensive medical, dental, vision, life and disability plans for eligible employees and their dependents.
- Free testing in addition to fertility care benefits.
- Pregnancy and baby bonding leave.
- 401k benefits.
- Commuter benefits.
- Generous employee referral program.
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