AVP of Credentialing and Payer Enrollment

Location: Remote
Compensation: Salary
Staff Reviewed: Thu, Sep 26, 2024
This job expires in: 21 days

Job Summary

A company is looking for an AVP, Credentialing & Payer Enrollment.

Key Responsibilities
  • Oversee all aspects of provider credentialing and payer enrollment on a national level
  • Lead a national team to ensure consistency in hiring, training, and skill development
  • Ensure compliance with all government and health plan requirements related to provider certification and credentialing

Required Qualifications
  • 10+ years of experience in managed care credentialing, billing, or medical staff service settings
  • Experience with NCQA, Joint Commission, URAC, CMS, and state laws and regulations
  • Athena and EPIC EHR experience preferred
  • Ability to manage multiple projects and meet deadlines
  • Experience in developing leaders and managing vendor relationships

COMPLETE JOB DESCRIPTION

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