Supervisor, Network Development Credentialing Pearland, TX
About The Position
Explore opportunities with Kelsey-Seybold Clinic, part of the Optum family of businesses. Work with one of the nation’s leading health care organizations and build your career at one of our 40+ locations throughout Houston. Be part of a team that is nationally recognized for delivering coordinated and accountable care. As a multi-specialty clinic, we offer care from more than 900 medical providers in 65 medical specialties. Take on a rewarding opportunity to help drive higher quality, higher patient satisfaction and lower total costs. Join us and discover the meaning behind Caring. Connecting. Growing together. The Credentialing Supervisor oversees the credentialing process and assigned staff to ensure compliance with delegated credentialing accreditation and regulatory agency standards. The Supervisor is responsible for the daily operations of Credentialing in Network Operations Department and ensures processes meet regulation requirements. The Credentialing Supervisor facilitates communication with clinics, physicians, payors, medical directors and other customers. You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Requirements
- High School diploma or equivalent work experience with focus in credentialing
- 5+ years of managed care experience, 1-year supervisory experience
- High degree of knowledge in NCQA, TDI and AAAHC credentialing standards.
- Proficient computer experience, i.e. Microsoft Word /Excel
- Proven excellent written, verbal, presentation and leadership skills.
- Self-starter who can work independently with minimal supervision
Nice To Haves
- Certifications – CPCS, CPMSM
- College Degree
- Managed Care/Hospital Credentialing
- Proficient in Microsoft Access and/or credentialing software programs
Responsibilities
- oversees the credentialing process
- responsible for the daily operations of Credentialing in Network Operations Department
- facilitates communication with clinics, physicians, payors, medical directors and other customers
Benefits
- comprehensive benefits package
- incentive and recognition programs
- equity stock purchase
- 401k contribution
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What This Job Offers
Job Type
Full-time
Career Level
Manager
Education Level
High school or GED
Number of Employees
5,001-10,000 employees
