Credentialing Manager overseeing all provider credentialing and recredentialing processes at PacificSource. Collaborating with teams to enhance interdepartmental operations and ensure compliance with standards.
Responsibilities
Manage all provider credentialing and recredentialing processes
Collaborate with provider partners and internal customers
Supervise and provide guidance to assigned staff
Develop annual budgets
Utilize lean methodologies for continuous improvement
Maintain open communication with practitioners regarding credentialing
Requirements
Minimum of five years health insurance experience
At least three years credentialing experience
Three years of experience managing teams in a health care environment
High school or equivalent required; bachelor's degree preferred
Knowledge of healthcare delivery, NCQA and HIPAA
Proficient in Word, Excel, Databases and credentialing software programs
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