Senior Manager in consulting focused on driving business growth and AI integration. Leading client engagement and building strategic relationships while mentoring consulting talent.
About the role
- 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
Benefits
- Health insurance
- Career development opportunities
- Remote work flexibility
- Paid time off
- Community involvement
Job title
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