Location: Denison, TX
years of CST experience required 2 years of scrubbing experience in an operating room setting Will accept local travelers COVID Vaccine Requirement: Covid vaccinations & boosters Certs: BLS, CST Experience: 2+ years of CST experience required 2 years of scrubbing experience in an operating room setting Will accept local travelers COVID Vaccine Requirement: Covid vaccinations & boosters About GQR Healthcare GQR’s Healthcare team specializes in connecting experts within the industry to highly skilled healthcare professionals across the US market.
In the competitive healthcare market, we recognize that the industry’s common goals of improved quality of care and patient outcomes are wholly
reliant upon the professionals directly supporting these initiatives. Leveraging our extensive candidate network, we deliver continuity of care for the communities our partners serve to ensure the patient experience is of the highest quality.
Through deep market specialization and a unique approach to talent acquisition, GQR Healthcare provides an unparalleled and personalized experience across all medical specialties in nursing and within diverse healthcare platforms across the industry. For more details: jobs-search. org/technology_denison-c448549/job_i1971599236
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of contracting and credentialing. ESSENTIAL FUNCTIONS OF THE ROLE Develops and maintains trusting, personal relationships with providers and their office staff via office visits, telephone calls and correspondence. Meets weekly provider contact goals and provides excellent customer service during each contact.
Serves as the liaison for providers and responds to all concerns and issues. Works with internal departments to ensure providers have a complete resolution. Delivers adequate education and training to providers and their office staff for all product lines including, but not limited to, conducting new provider orientations. Assists the Credentialing Team by performing site visits/surveys
as needed. Identifies gaps in the network and works with the Network Development Team to find providers to fill the gaps. Works with the Quality Improvement team on various HEDIS initiatives with the providers.
Facilitates information gathering for contract negotiations and reviews in order to expand provider networks and maximize cost effective care. Participates in and refers financial negotiations of hospital contracts to financial offices. Conducts periodic reviews and revises existing contracts in order to maximize cost effective care. Proposes modifications to new contract language. Collaborates with other departments to provide a systematic credentialing process for contracted
providers and effective contracting based on cost and frequency of utilization; ensures contracted providers and services meet quality standards to deliver safe and effective patient care.
KEY SUCCESS FACTORS Knowledge of managed care and/or health insurance industry. Proven relationship management skills. Able to negotiate and revise contracts in order to maximize cost effective care. Proven problem-solving and data-based skills. Able to collaborate on process definition and improvement and ensure quality standards are met. Able to multi-task, set priorities, and work autonomously with minimal supervision. Able to travel at least 75% of the time Monday through Friday, including some overnight stay.
Excellent written and verbal communication skills. BENEFITS Our competitive benefits package includes the following Immediate eligibility for health and welfare benefits 401(k) savings plan with dollar-for-dollar match up to 5% Tuition Reimbursement PTO accrual beginning Day 1 Note: Benefits may vary based upon position type and/or level QUALIFICATIONS EDUCATION - Bachelor's or 4 years of work experience above the minimum qualification EXPERIENCE - 1 Year of Experience PDN-9ae9f3dc-5c9f-493b-b85e-8c80c4a8296a
