Supervisor, Provider Operations - Credentialing - Remote
About The Position
Sentara Health Plans is currently hiring for a Supervisor, Provider Operations - Credentialing - Remote. This is a full-time, permanent position with work hours from 8 am to 5 pm EST, Monday through Friday. Remote opportunities are available in multiple states across the US. The primary role of this position is to manage the day-to-day activities regarding provider data management and credentialing. This position serves as a subject matter expert and will help support quality assurance, internal and external auditing of key processes, system compliance and acceptance testing, and process improvements designed to increase operational effectiveness. This position will also be responsible for the documentation of new policies and procedures, the development and maintenance of training materials, and assistance with onboarding new staff. This position will manage a team of up to 10 to 14 credential specialists I and II.
Requirements
- Healthcare experience: 3 years REQUIRED
- HS - High School Grad or Equivalent preferred
Nice To Haves
- Health plan experience is preferred
Responsibilities
- Manage the day-to-day activities regarding provider data management and credentialing.
- Serve as a subject matter expert.
- Support quality assurance, internal and external auditing of key processes.
- Support system compliance and acceptance testing.
- Implement process improvements designed to increase operational effectiveness.
- Document new policies and procedures.
- Develop and maintain training materials.
- Assist with onboarding new staff.
- Manage a team of up to 10 to 14 credential specialists I and II.
Benefits
- Medical, Dental, Vision plans
- Adoption, Fertility and Surrogacy Reimbursement up to $10,000
- Paid Time Off and Sick Leave
- Paid Parental & Family Caregiver Leave
- Emergency Backup Care
- Long-Term, Short-Term Disability, and Critical Illness plans
- Life Insurance
- 401k/403B with Employer Match
- Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education
- Student Debt Pay Down – $10,000
- Pet Insurance
- Legal Resources Plan
- Annual discretionary bonus if established system and employee eligibility criteria is met.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
