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    Regulatory Compliance Manager - Springfield, United States - CoxHealth

    CoxHealth
    CoxHealth Springfield, United States

    4 weeks ago

    Default job background
    Description
    Summary
    Best in Class Work Environment
    5x Modern Healthcare Best Places to work
    America's Greatest Workplaces 2023 – Newsweek
    Best Employers for New Grads 2023- Forbes
    Greatest Workplace for Women Newsweek

    Benefits
    Robust, fully customizable benefits package including Medical/Vision/Dental and more

    No cost eCare visits
    Employer-provided mental health services for employees and eligible family members

    Retirement with employer match up to 5%
    Tuition discounts and reimbursement available for continuing your education
    CoxHealth Fitness Center and Child Care discounts

    Job Summary

    The CVO Manager is responsible to develop, manage, and monitor the effectiveness of credentialing and enrollment processes and procedures that support the credentialing, re-credentialing, and data management.

    The CVO Manager's core responsibilities include oversight of all credentialing functions including application management, primary source verification, and privileging processes.

    Ensures compliance with the Federal and State laws, accrediting and regulatory agencies, and credentialing best practices. Supervises credentialing staff in the day-to-day management of the overall CVO credentialing process and database management.

    Job Requirements
    Education

    Required:
    Associate Degree or High School Diploma AND 5 years of experience in a healthcare setting

    Preferred:
    Bachelor's Degree in Healthcare, Business Administration or related field
    Experience

    Required:
    5 years working in a healthcare environment with 2 years medical staff credentialing


    Preferred:
    2 years of management experience or equivalent
    Credentialing software proficiency
    Project management skills

    Skills
    Strong interpersonal and communication skills, including ability to motivate people
    Clear, concise writing and presentation skills
    Ability to maintain fast pace and manage a diverse and demanding workload
    Decisive and capable of exercising good judgment under pressure
    Ability to work collaboratively with physicians, providers, managers, and staff
    Basic computer skills and familiarity with Microsoft Office applications

    Licensure/Certification/Registration

    Preferred:
    Certified Provider Credentialing Specialist or Certified Professional Medical Staff Services Management.

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