Credentialing Manager- Mostly Remote

Company: firstPRO 360
Location: Marietta
Posted on: January 12, 2021

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