CVO Manager, Remote

Trinity Health•Livonia, MI

3d•Remote

About The Position

The CVO Manager manages the operational aspects of Trinity Health’s Central Verification Office (CVO) Reappointment Team, ensuring an efficient and effective operation that complies with regulatory agencies including CMS, TJC, and NCQA. The role directly oversees and manages the performance of a CVO file processing team. The manager oversees reappointment credentialing for Trinity RHMs, other healthcare entities as appropriate, and managed care organizations. Responsibilities include monitoring the department budget and staffing, managing and developing staff, maintaining credentialing policies and processes, improving operations, and ensuring the quality and reliability of provider information and privileges. The position works collaboratively with customers and internal and external partners to support an effective credentialing operation. The role requires maintaining confidentiality, complying with applicable laws and organizational policies, participating in professional development, and traveling to Trinity Health sites as needed. The position also requires handling high-pressure periods while remaining flexible and maintaining a pleasant attitude.

Requirements

Comprehensive knowledge of credentialing and privileging, normally obtained through a bachelor’s degree or an equivalent combination of education, training, and/or experience in healthcare administration or a related field.
Five to seven years of healthcare experience, including understanding of the current healthcare environment and familiarity with managed care concepts and integrated delivery systems.
Current CPCS and/or CPMSM eligibility through the National Association Medical Staff Services; certification is required within one year of hire.
Strong written and verbal communication skills, including active listening and consideration of varying viewpoints.
Strong statistical, analytical, and problem-solving skills.
Ability and desire to provide quality service to others.
Ability to prioritize and coordinate multiple activities and projects simultaneously.
Strong organizational skills, attention to detail, and thoroughness.
Ability to work independently, prioritize, manage multiple responsibilities, and produce high-quality work.
Ability to work autonomously and within a team environment.
Comfort operating in a collaborative, shared leadership environment.
Honesty, integrity, caring, and the ability to inspire and motivate others in support of Trinity Health’s philosophy, mission, vision, goals, and values.
Ability to travel to Trinity Health sites as needed.
Ability to complete work during high-pressure periods while maintaining flexibility and a pleasant attitude.

Nice To Haves

Prior management or leadership experience in a healthcare environment.
Maniacal attention to detail.
Experience with MD Staff.

Responsibilities

Manage the operational aspects of Trinity Health’s Central Verification Office, including reappointment credentialing for Trinity RHMs, other healthcare entities as appropriate, and managed care organizations.
Monitor the department budget and staffing levels, reduce duplicated work, and ensure operations remain within budget.
Create and review periodic and special reports to ensure conformance with departmental goals and regulatory requirements.
Assist with staffing plans and manage hiring, orientation, training, performance management, department goals, and continuing education for staff.
Plan office activities and work projects, supervise personnel, and ensure projects and duties are completed.
Manage activities required to maintain a quality provider network in accordance with policies, procedures, and delegated credentialing agreements for initial credentialing and re-credentialing.
Develop and implement process changes to improve credentialing operations.
Oversee maintenance of the database to ensure reliable practitioner and physician information and privileges.
Implement policies and procedures that ensure deliverable services to RHMs, CINs, ACOs, and MCOs with delegated credentialing agreements.
Develop and maintain positive customer relationships and promote constructive conflict resolution.
Develop, review, and revise credentialing policies and procedures to meet Trinity and MCO quality management requirements, including TJC, NCQA, and NPDB requirements.
Establish implementation strategies for centralized credentialing processes.
Facilitate maintenance of facilities, office equipment, and contracted services.
Promote collaborative relationships with hospital department administrative staff, MCO support staff, and internal department staff.
Participate in professional development and maintain professional affiliations to stay current with healthcare trends, regulations, and legislation.
Maintain confidentiality of information concerning patients, physicians, employees, and visitors.
Maintain working knowledge of applicable laws, regulations, the Trinity Health Integrity and Compliance Program, Code of Conduct, and other policies and procedures.
Travel to Trinity Health sites as needed.
Complete work during high-pressure periods while maintaining flexibility and a pleasant attitude.