Associate Director leading global Talent Acquisition strategy at Gartner. Building relationships and delivering on hiring objectives with strategic initiatives and data - driven decision - making.
About the role
- Director of Provider Data Management at Altais improving healthcare operations through data management and team leadership. Responsible for ensuring compliance and enhancing provider satisfaction in California.
Responsibilities
- Provide leadership / coaching to the credentialing team staff, ensuring function initiatives and deliverables are complete and accurate in a timely manner
- Responsible for the oversight of processing credentialing applications accurately and promptly in accordance with Credentialing policies and procedures and in full compliance with all regulations with a continued focus on delivery of a high-quality product with the greatest level of efficiency
- Own end to end delegated credentialing process, including management of the Provider Directory and any related Provider Engagement Portal, or equivalent
- Direct audit preparation of materials and files necessary to comply with external audits by payors and/or governmental agencies
- Manages relationships with health plan delegation oversight committee members
Requirements
- Bachelor’s degree or equivalent to 4-year university degree, preferably in healthcare related field of study
- Minimum of 10 years of credentialing, or regulatory affairs experience, preferably in a managed care or insurance environment
- 6 years of leadership experience
- Credentialing software experience
- Experience leading Health Plan audit activities
- Experience with and knowledge of CAQH and credentialing processes
- Knowledge of delegated credentialing and verification
- Knowledge of related accreditation and certification requirements
- Knowledge of medical credentialing procedures and standards
- Excellent communication skills, both written and verbal, as well as strong organizational and administrative abilities
- Advanced Excel knowledge
Benefits
- Excellent medical, vision, and dental coverage
- 401k savings plan with a company match
- Flexible time off and 9 Paid Holidays
- Eligible to participate in our annual bonus program
Job title
Job type
Experience level
Salary
Degree requirement
Location requirements
Product Development Director driving innovation and AI excellence across Visma companies. Collaborating with management teams to enhance product strategies for the age of AI.
Director/Partner at TMG Consultants leading business development and strategy in the manufacturing sector. Driving growth and innovative consulting practices with a key focus on client relationships.
Director leading Space and Occupancy execution at Cushman & Wakefield across multiple regions and teams. Ensuring operational excellence and data integrity in occupancy management.
Senior Director managing restructuring and turnaround initiatives for distressed companies at Ankura. Leading complex analyses, overseeing financial modeling, and providing strategic guidance to clients.
Strategic Pricing Director developing innovative pricing strategies for large - scale federal government business opportunities. Collaborating with cross - functional teams to align pricing with customer requirements.
Director of Portfolio Construction & Research leading investment research for UC Wealth. Supervising analysts, communicating insights, and handling manager searches in portfolio management.
M&A Director at Zurich managing high - value acquisitions and leading project teams. Responsible for strategic assessment and collaboration across regions to facilitate successful transactions.
Director of Melanoma Oncology fulfilling leadership and clinical responsibilities in Emory University's Department of Hematology and Medical Oncology.
Director of Melanoma Oncology at Emory University overseeing clinical activities and mentorship while collaborating with various specialists. Engaging in strategic initiatives and supporting academic development.