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Job

Credentialing Supervisor- Remote in Atlanta

  • Job ref:

    152113

  • Location:

    Atlanta , United States

  • Sector:

    Accounting & Finance

  • Contact:

    Steve Whiting

  • Published:

    about 1 month ago

  • Consultant:

    Steve Whiting

Our client is a market leader in the Healthcare industry, and they wish to hire a Credentialing Supervisor to supervise the daily operations of the credentialing function and provide guidance and performance feedback to staff.  REMOTE and must live in the Atlanta area.

Essential duties will include: - 

  • Oversee the credentialing and re-credentialing process for assigned business units 

  • Oversee staff including performance management activities 

  • Serve as the subject matter expert for activities related to credentialing 

  • Investigate and resolve complex credentialing issues 

  • Be an active participant in departmental planning initiatives to improve quality, efficiency, and overall departmental effectiveness 

  • Provide training to team members to ensure accurate and timely and credentialing of providers 

  • Prepare materials and facilitate Credentialing Committee meetings 

  • Monitoring performance to ensure credentialing quality benchmarks are met 

  • Assist with and as needed, represent Credentialing during preparation and reviews associated with audit activity (e.g., NCQA, EQRO, Internal Audit) 

Job Requirements: - 

  • Bachelor’s Degree preferred 

  • 3+ years of combined management and provider data management, credentialing healthcare operations (i.e. claims processing, billing, provider relations or contracting) experience, preferably in a managed care environment 

  • Supervisory experience