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Manager, Credentialing - Tempe, United States - American Vision Partners
Description
Overview
This position directly manages the facility credentialing, provider privileging and licensing processes of
individual providers, physician clinics and ambulatory surgery centers. The position provides direct
supervision to the credentialing specialists.
Responsibilities
1. Provides leadership and management expertise to the Credentialing department.
2. Plans, organizes, directs and effectively manages the responsibility for overseeing the day-to-day
operations of the Credentialing teams by creating a positive environment that encourages staff to
perform at their highest potential.
3. Oversees the hiring, training, and supervision of department staff. Ensures that department policies
are fairly administered by overseeing corrective action process, employee training, mentoring and
coaching employees and supervisors as well as completing performance reviews.
4. Ensures departmental standards by efficiently setting goals and objectives, assisting with the
prioritization of work, and using available resources.
5. Initiates and facilitates the Credentialing process for existing and new locations including
acquisitions.
6. Communicate regularly with local, state and national agencies and know when and how to
appropriately escalate issues for resolution.
7. Communicates performance data and action plans to leadership.
8. Maintains and analyzes department statistics on work volume, productivity and accuracy for use in
long-range planning.Credentialing & Licensing –Manager
9. Manages the processing and submission of facility and provider applications with the agencies and
hospitals in a timely and accurate manner.
10. Accountable for establishing, contributing, and implementation of standards applicable to provider
staff relating to credentialing and administrative functions in compliance with credentialing, licensing
and accreditation requirements.
11. Effectively does own due diligence and research and establishes solutions to bridge gaps in work
processes that have disconnected due to turnovers, staff shortages or other extenuating
circumstances.
12. Works without boundaries and advances own knowledge of other processes outside of the
immediate job responsibilities. Maintains positive leadership and gives frequent performance
feedback, and encourages two-way participation and ideas.
13. Provides a collegial environment which fosters teamwork within the department's teams and as well
as other inter-organization departments.
14. Conducts self-audits and provides reports and important information to department director
continuously and timely.
15. Prepares key credentialing operational reports for internal customers that drive business decisions
and impact strategic planning.
16. Maintains comprehensive knowledge of both state and federal requirements to ensure that all legal,
licensure and accreditation standards, due dates and deadlines are met.
17. Assures credentialing activities are integrated within the appropriate organization's committees and
departments.
18. Responsible for hiring, training, coaching, reviewing job performance and counseling all direct
report staff. Provides coaching to employees when needs are identified, holding employees
accountable for results through coaching and development of action plans.
19. Performs all other assigned duties.
Qualifications
● Bachelor's degree or equivalent combination of education and experience which would provide required knowledge
● Requires 5 or more years in a supervisory or leadership role
● Requires at least 5 years experience in credentialing & privileging
● Previous experience in ASC licensing
● Current Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Staff
Management (CPMSM) with the National Association of Medical Staff Services is required to
effectively understand and apply credentialing processing, standards and guidelines
● Previous experience with AAAHC accreditation
Benefits & Perks
Your health, happiness and your future matters At AVP, we offer everything medical and dental insurance, significant eye care discounts, child care assistance, pet insurance, continuing education funds, 401(k), paid holidays plus PTO, Sick Time, opportunity for growth, and much more
