Service Manager part of Qualco's Service Delivery team ensuring client satisfaction and service compliance. Engaging with strategic clients in Athens to meet business needs.
About the role
- 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
Benefits
- Health insurance
- Retirement plans
- Paid time off
- Flexible work arrangements
- Professional development
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