03 Oct
|
NIVA Health
|
India
Own the process that gets our providers ready to care for patients.If you’re an experienced healthcare credentialing professional who knows how to turn a complicated credentialing process into something organized, predictable, and accountable, this could be the role for you.
At NIVA Health, credentialing isn’t simply paperwork—it directly impacts when our providers can start seeing patients and how quickly we can grow into new markets. We’re looking for someone who can take ownership of the entire provider lifecycle, from accepted offer through credentialing, contracting, payer enrollment, ongoing maintenance, and ultimately separation.
You’ll be the person who knows where every provider stands, what’s holding things up, who needs to take action, and what needs to happen next.
What you’ll ownYou’ll lead NIVA Health’s provider credentialing, contracting, payer enrollment, and provider lifecycle processes, while continuously looking for ways to make them more efficient and scalable.
Your responsibilities will include:
• Own the credentialing process from accepted offer through provider readiness and ongoing maintenance.
• Manage and hold our third-party credentialing vendor accountable for timelines, quality, service levels, and results.
• Establish credentialing priorities based on provider start dates, patient access, business growth, geographic expansion, and payer requirements.
• Lead regular status reviews, identify barriers and delays, and escalate risks that could impact provider start dates or patient care.
• Oversee provider contracting, including employment, independent contractor, cooperative practice, supervising physician, medical director, telehealth, delegation, and related agreements.
• Ensure provider contracts are executed before patient care begins and maintain renewal and expiration schedules.
• Oversee Medicare, Medicaid, and commercial payer enrollment and maintain accurate enrollment reporting.
• Partner with Revenue Cycle and Billing to resol
📌 Credentialing & Contracting Manager (India)
🏢 NIVA Health
📍 India