Manager, Credentialing & Provider Enrollment
Houston, TX, United States
USD 81K-104K (estimate) Mid-level Full Time
Tasks
- Collaborate with departments to meet NCQA and Joint Commission requirements
- Ensure Joint Commission Medical Staff requirements
- Ensure NCQA credentialing requirements
- Maintain credentialing policies and processes compliance
- Maintain practitioner credentialing database
- Manage centralized credentialing program
- Oversee credentialing staff and credential files
- Perform practitioner credentialing and recredentialing
- Respond to regulatory audits
- Train credentialing staff
Perks/Benefits
- N/A
Skills/Tech-stack
Credentialing | Database Management | Healthcare Audits | Healthcare Compliance | Healthcare training | Joint Commission) | Managed care | NCQA | Provider Privileging | Provider enrollment | Staff Supervision
Roles
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