Manager Of Credentialing - Remote Position

Overview

Manager of Credentialing

Envision Healthcare

This is a remote position

Envision Healthcare is a leading national medical group focused on delivering high-quality care to patients when and where they need it most. You’ll find clinicians and clinical support professionals across the nation who are proud to call Envision home. We welcome teammates of every background and work in communities that reflect the racial, ethnic, gender, sexual orientation, and economic diversity of our country.

Through Envision Physician Services an d AMSURG, our clinician-led organization is changing the face of healthcare by delivering high-quality care that puts the patient first.

Envision’s core values drive continual advancement and ingenuity across the enterprise:

• Care Deeply-serve patients, partners, communities, and each other with empathy, compassion, and respect
• Embrace Teamwork-work cross-functionally, break down walls, develop others, be inclusive and unite to improve patient health
• Inspire Joy-seek fulfillment and the joy of medicine, appreciate others, celebrate wins, and promote wellness and belonging
• Be Curious-embrace learning, seek out diversity of thought, listen openly, ask questions, and ask for feedback
• Pursue Extraordinary-challenge the status quo, champion change, innovate and constantly aim higher
• Instill Trust-have the hard conversation, presume good intent, honor commitments, and do the right thing for patients and each other

Benefits

At Envision Healthcare, we offer benefits at the speed of your life. Our wide range of health and welfare benefits allow you to choose the right ones for you and your family. Best of all, qualifying employees are eligible to enroll from day one, so you can rest easy knowing you and your loved ones are protected. Envision Healthcare offers a variety of health and welfare benefit options to help protect your health and promote your wellbeing. The benefits offered include but not limited to: Medical, Dental, Vision, Life, Disability, Healthcare FSA, Dependent Care FSA, Limited Healthcare FSA, FSAs for Transportation and Parking & HSAs.

Paid Time Off

Envision Healthcare offers paid time off, 9 observed holidays and paid family leave. You accrue Paid Time Off (PTO) each pay period and depending on your position and can earn a minimum of 20 days and up to 25 days per calendar year.

We currently have an exciting opportunity available for an experienced Manager of Credentialing!

Responsibilities

The Credentials Manager is responsible for the facilitation of medical staff credentialing and privileging operations. He/she provides direct supervision to a professional support staff in administering all aspects of the credentialing services with a strong emphasis on the delivery of quality, efficiency and superior service. The Credentials Manager possesses and maintains current knowledge of Operational processes, regulatory requirements, Department Policies and Procedures, and hospital policies and procedures. The Manager will serve as the escalation point of contact for other team members and ensure smooth team operations, communication, and collaboration.

• Ensure departmental guidelines support NCQA and TJC Compliance.
• Track and trend in order to promote compliance, process enhancement and efficiency.
• Oversight of hiring, firing, advancement, promotion, or any other changes within department.
• Directs the team to ensure all providers start on the expected start date and all expirable documents are maintained and current.
• Attends Operational Leadership meetings.
• Identify and analyze the design of jobs, work processes, work flows etc. for the department.
• Aligns with Supervisor to ensure provider onboarding process is completed within established timelines (internally / externally) to include: Internal / hospital privileges, obtaining state licenses, DEA’s, CDS.
• Implement appropriate changes to improve effectiveness, productivity and efficiency that support overall goals of the department.
• Evaluate and distribute team workload.
• Establish and monitor key performance indicators, including individual and departmental goals.
• Develop and manage audit activities in support of quality improvements, timelines, and accountability.
• Uses professional knowledge and judgement to advise functional leaders.
• Reports to Director credentialing data, significant issues, process improvement, staffing performance and planning.
• Ensure the team is following all established processes, procedures and meeting established deadlines.
• Coordinate team meetings and educational trainings in collaboration with Credentialing Director.
• Assess systems and develop improved processes, while remaining in compliance with credentialing guidelines, state and federal statutes, standards, and regulations.
• Performs employee evaluations in accordanc e with HR policy to evaluate performance, address concerns, and set goals. Employee feedback, whether positive or educational, is provided at a minimum on a quarterly basis, or more frequently if necessary.

Qualifications

To perform this job successfully, an individual must be able to perform each essential responsibility satisfactorily. The requirements listed below are representative of the knowledge, skills and/or abilities required.

• Achievement-oriented with a positive, results-oriented style
• Understanding of NCQA /JC Accreditation standards and policies and procedures
• Keen attention to detail
• Ability to work independently and proactively in a fast-paced, dynamic environment
• Strong written, oral, and interpersonal communication skills
• Ability to effectively prioritize and execute tasks in a high-pressure environment
• Proven analytical and problem-solving abilities
• Ability to interact with internal and external customers
• Able to communicate effectively within department and with members of interdisciplinary teams
• Demonstrates ability to lead, manage and motivate teams
• Experience working both independently and in a, team-oriented, collaborative environment
• Highly self-motivated, directed and proactive
• Highly analytical and detail-oriented with ability to demonstrate command of details and to articulate those details at a higher level
• Flexible and adaptable in regard to learning and understanding new technologies
• In depth knowledge of credentialing

Education/Experience

• Bachelor's Degree from four-year college or university and 5 or more years of related experience; or equivalent combination of education and experience

Certificates And Licenses

• NAMSS Certified Provider Credentialing Specialist (CPCS) preferred

If you are ready to join an exciting, progressive company and have a strong work ethic, join our team of experts! We offer a highly competitive salary and a comprehensive benefits package.

Envision Healthcare uses E-Verify to confirm the employment eligibility of all newly hired employees. To learn more about E-Verify, including your rights and responsibilities, please visit www.dhs.gov/E-Verify .

Envision Healthcare is an Equal Opportunity Employer.