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Northern California or REMOTE, California
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Northern & Central California, California
Posted: 20-Nov-23
Location: Irving, Texas
Salary: Open
Categories:
Internal Number: 15982102
Summary:
The Manager Credentialing is accountable for establishing and implementing an effective credentialing program essential to meeting contractual, state, federal and accreditation requirements. The Manager is responsible for daily operations associated with the Credentialing department. The Manager is responsible for assuring compliance and continual accreditation readiness with accreditation standards and other licensing and regulatory standards relative to the Medical Staff.
- Responsible for all aspects of the Credentialing program, including such activities as: Budgetary responsibility for area of responsibility
- Identifies need for and leads staff in development and revision of policies and procedures governing Credentialing
- Oversees Provider credentialing to include development, revision and maintenance processes and tools for support of the Credentialing Process
- Oversees Provider enrollment with health plans and governmental agencies
- Develops audits for Credentialing activities
- Provides staff education in audit process
- Conducts validation reviews of Associates work to ensure accuracy and completeness
- Coordinates and facilitates activities of other participating departments and contracted services in Credentialing Activity
Requirements:
- Bachelor's Degree required
- CPCS 18 months upon meeting NAMSS eligibility requirements required
- CPMSM 18 months upon meeting NAMSS eligibility requirements required
Work Type:
Full Time
EEO is the law - click below for more information:
https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12ScreenRdr.pdf
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at (844) 257-6925.
