Credentialing Manager
Kforce Inc


Job Info


RESPONSIBILITIES:

Kforce has a client that is seeking a Credentialing Manager in Nashville, TN.Essential Duties and Responsibilities:
  • Credentialing Manager will oversee multiple departmental functions to support contracted facilities across all divisions
  • Manage provider on boarding process (internally/externally) to include: Internal/hospital privileges, obtaining state licenses, DEA's, CDS within established timelines
  • Oversee expirable process in support of contract compliance
  • Credentialing Managers ensure departmental guidelines support company's compliance
  • Perform annual reviews on direct reports to foster development
  • Identify and analyze the design of jobs, work processes, work flows, etc. for the department
  • Implement appropriate changes to improve effectiveness, productivity and efficiency that support overall goals of the department
  • As a Credentialing Manager, you will perform audit procedures in support of quality improvements, timelines, and accountability
  • Develop and manage audit controls
  • Manage both direct and indirect remote reports, internal control, track, and trend in order to promote compliance, process enhancement, and efficiency
  • Ensure team is following all established processes, procedures, and meeting established deadlines


REQUIREMENTS:

  • Bachelor's degree preferred or commensurate experience
  • Previous Credentialing experience related functions while adhering to company standards
  • Previous managerial or supervisory experience directing a team
  • Open to travel
Kforce is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, pregnancy, sexual orientation, gender identity, national origin, age, protected veteran status, or disability status.



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