Epic Staffing Group

Diversified national provider of staffing services to the Life Sciences and Healthcare industries.

Associate Manager – Credentialing

ManagerManagerFull TimeRemoteTeam 501-1,000H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

30 days ago

Salary

Not specified

High School3 yrs expExperience acceptedEnglish

Job Description

• Manage the performance and development of direct reports, providing training, coaching, and conducting regular employee reviews • Conduct regular performance evaluations, provide constructive feedback, and develop individualized development plans for team members • Educate departments on credentialing policies, procedures, and internal policy changes as necessary • Oversee The Joint Commission reviews and quarterly data submissions • Audit and approve invoices from credentialing vendors for each SBU • Review and approve background checks and licensing issues, escalating employment determinations when necessary • Implement robust policies and procedures to ensure accurate verification and uploading of applications into the online credentialing database system • Analyze application status trends, evaluate verification information, and identify areas of non-compliance or 'red flags'; recommend and execute appropriate corrective actions • Manage incoming and outgoing communications, ensuring adherence to policy timelines while updating the credentialing database; provide status reports and communicate practitioner participation information to internal and external stakeholders • Facilitate written and verbal communications with federal, state, and local agencies, hospitals, medical review boards, and malpractice carriers to obtain necessary provider and practitioner information • Participate in preparation for internal and external audits to ensure accurate provider information and compliance with regulatory/accreditation requirements (e.g., CMS, DSHS, NCQA, JCAHO, DNV) • Assist practitioners and clinicians with scheduling appointments and necessary medical procedures (e.g., physicals, drug screens, vaccinations) • Stay informed about research, review, and interpretation of applicable accreditation, licensing, and regulatory requirements to ensure ongoing compliance of credentialing policies and procedures

Job Requirements

  • Three years of experience in education or healthcare staffing credentialing
  • Certified Provider Credentialing Specialist (CPCS) can substitute for experience
  • Possess an overall knowledge of business functions and understanding of services, business strategy, policies and procedures, and job’s impact to the organization
  • Understand, interpret, and ensure compliance with laws and regulations
  • Maintain trust through honesty, adherence to principles, and personal accountability
  • Obtain facts and data pertaining to an issue or question
  • Make quality decisions and meet the timeliness of those decisions
  • Share responsibility, authority, and accountability
  • Create a motivating climate, achieve teamwork, train, and develop, measure work in progress, and take corrective action
  • Engage effectively in dialogue

Benefits

  • 401K with Competitive Company Matching
  • FSA and HSA Plans
  • Financial Planning Assistance
  • Educational Assistance
  • Generous PTO Policy
  • Paid Parental Leave
  • Twelve Annual Paid Holidays
  • Active Employee Engagement Programs
  • Cellphone Stipend
  • Technology Stipend (for hybrid/remote positions)
  • Diversity, Equity, Inclusion, and Belonging Program
  • Professional Development
  • Charitable Matching
  • Medical, Dental, Vision, and Hearing Benefits
  • Navigate Health and Wellness Programs
  • Employee Assistance Program (EAP)
  • Life and Disability Insurance
  • Pet Insurance

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