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Supervisor, Credentialing

Company: Cenpatico
Location: San Rafael
Posted on: March 26, 2020

Job Description:

Supervisor, Credentialing USA-California-San Rafael Position Purpose: Supervise the daily operations of the credentialing function and provide guidance and performance feedback to staff * Oversee the credentialing and re-credentialing process for assigned business units * Oversee staff including performance management activities * Serve as the subject matter expert for activities related to credentialing * Investigate and resolve complex credentialing issues * Be an active participant in departmental planning initiatives to improve quality, efficiency, and overall departmental effectiveness * Provide training to team members to ensure accurate and timely and credentialing of providers * Prepare materials and facilitate Credentialing Committee meetings * Collaborate on facilitation of Clean Committee process * Monitoring performance to ensure credentialing quality benchmarks are met * Assist with and as needed, represent Credentialing during preparation and reviews associated with audit activity (e.g., NCQA, EQRO, Internal Audit) * Ability to thrive in a fast-paced environment and collaborate effectively within and across departmental lines Education/Experience: Bachelor s degree in related field or equivalent experience. 3+ years of combined management and provider data management, credentialing or healthcare operations (i.e. claims processing, billing, provider relations or contracting) experience, preferably in a managed care or insurance environment. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Provider Data Management Full-time

Keywords: Cenpatico, San Rafael , Supervisor, Credentialing, Other , San Rafael, California

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