Credentialing Manager overseeing provider credentialing and recredentialing processes at PacificSource. Collaborating with teams to enhance healthcare access and compliance in the United States.
Responsibilities
Manage all provider credentialing, recredentialing, and document management processes
Collaborate with provider partners and internal customers
Supervise and provide guidance to assigned staff
Participate in hiring and training processes
Develop annual budgets and monitor spending
Actively participate in strategic and internal committees
Continually assess and improve credentialing team processes
Develop and implement systems for compliance
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 are essential
Proficient in Word, Excel, Databases and credentialing software programs
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