Credentialing Manager- Mostly Remote
Company: firstPRO 360
Location: Marietta
Posted on: January 12, 2021
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Job Description:
Our client is a market leader in the Healthcare--industry,--and
they wish to hire--a Credentialing Manager--to supervise the daily
operations of the credentialing function and provide guidance and
performance feedback to staff. This is Mostly--REMOTE.Essential
duties will include: - * Oversee the credentialing and
re-credentialing process for assigned business units * Oversee
staff including performance management activities * Serve as the
subject matter expert for activities related to credentialing *
Investigate and resolve complex credentialing issues * Be an active
participant in departmental planning initiatives to improve
quality, efficiency, and overall departmental effectiveness *
Provide training to team members to ensure accurate and timely and
credentialing of providers * Prepare materials and facilitate
Credentialing Committee meetings * Monitoring performance to ensure
credentialing quality benchmarks are met * Assist with and as
needed, represent Credentialing during preparation and reviews
associated with audit activity (e.g., NCQA, EQRO, Internal Audit)
Job Requirements:* Bachelor's Degree preferred * 3+ years of
combined management and provider data management, credentialing
healthcare operations (i.e. claims processing, billing, provider
relations or contracting) experience, preferably in a managed care
environment * Supervisory experience
Keywords: firstPRO 360, Marietta , Credentialing Manager- Mostly Remote, Executive , Marietta, Georgia
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