Healthcare Credentialing Manager

Job Summary

A company is looking for a Manager of Credentialing to lead its credentialing team and oversee compliance with healthcare standards.

Key Responsibilities

• Manage all aspects of practitioner credentialing and recredentialing, ensuring compliance with standards and audits
• Act as the internal Subject Matter Expert on credentialing processes and regulatory requirements
• Implement and monitor key performance indicators and optimize credentialing processes for efficiency

Qualifications

• Minimum of 8 years of experience in healthcare credentialing and compliance
• Proven leadership experience in developing credentialing teams and strategies
• In-depth knowledge of NCQA accreditation standards and related compliance
• Experience with credentialing software, such as CredentialStream
• Documented success in process improvement and technology implementation in credentialing