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External Applicant Current Associate

Manager Credentialing Job in Irving

Summary:

The Manager Credentialing is accountable for establishing and implementing an effective credentialing program essential to meeting contractual, state, federal and accreditation requirements. The Manager is responsible for daily operations associated with the Credentialing department. The Manager is responsible for assuring compliance and continual accreditation readiness with accreditation standards and other licensing and regulatory standards relative to the Medical Staff.

• Responsible for all aspects of the Credentialing program, including such activities as: Budgetary responsibility for area of responsibility
• Identifies need for and leads staff in development and revision of policies and procedures governing Credentialing
• |Oversees Provider credentialing to include development, revision and maintenance processes and tools for support of the Credentialing Process
• |Oversees Provider enrollment with health plans and governmental agencies
• Develops audits for Credentialing activities
• Provides staff education in audit process
• Conducts validation reviews of Associates work to ensure accuracy and completeness
• Coordinates and facilitates activities of other participating departments and contracted services in Credentialing Activity

Requirements:

• Bachelor's Degree required
• CPCS 18 months upon meeting NAMSS eligibility requirements required
• CPMSM 18 months upon meeting NAMSS eligibility requirements required

Work Type:

Full Time