Credentialing Supervisor

OneOncology

101d

About The Position

The Credentialing Supervisor will report to OneOncology’s Credentialing Manager and is responsible for supervising and leading the day-to-day activity and workflow of assigned credentialing team members and partner practices. The Supervisor is responsible for oversight of credentialing, re-credentialing, and privileging processes for health care providers while complying with state and federal standards. Maintaining up-to-date data in credentialing databases, electronic systems and hard copy files as well as tracking and managing provider licenses, certifications, etc.

Requirements

• Bachelor’s degree preferred, or equivalent experience.
• 2 years Supervisory experience required, preferably in a credentialing/enrollment environment.
• 5 years Credentialing/Enrollment experience required.
• Experience working in credentialing software systems.

Nice To Haves

• Experience working with NCQA criteria and 3rd party payer regulations.
• Experience with completing hospital credentialing applications.
• Excellent written and verbal communication skills.
• Participated in implementation of credentialing software tools.
• Recent or current hands-on experience in credentialing activities.
• Ability to manage multiple complex projects at the same time.
• Data aggregation and analysis.
• Training experience preferred but not required.
• CPCS/CPMSM Certification preferred but not required.

Responsibilities

• Supervise and lead a team of credentialing specialists to ensure timely and accurate processing of credentialing applications and payer enrollments.
• Directly performing enrollment, credentialing, and license application/renewal functions as needed.
• Support enterprise in technology to advance efficiency, accuracy, and timeliness of credentialing function(s).
• Assist in the development and maintenance of policies and procedures related to the credentialing and enrollment processes, ensuring compliance with all regulatory and accreditation requirements.
• Facilitate or co-facilitate any process improvement events.
• Assist manager in hiring and other various projects and departmental issues as needed.
• Other tasks as assigned.

What This Job Offers

• Education Level: Bachelor's degree