Director of Credentialing

We are hiring Credentialing Director with extensive experience to join our team in Denver (on site) and Texas .

Requirements:

• Proficient MS Office and PC user
• Excellent verbal and written communication skills
• Excellent time management, organization, and multitasking skills
• Excellent critical thinking and problem-solving skills
• Direct and oversee credentialing staff in the day-to-day management of the overall credentialing process
• Ensure timeliness and accuracy of the credentialing process
• Facilitate communications between departments and applicants throughout credentialing
• Research complex credentialing issues and serve as a subject matter expert (SME) as needed
• Oversee completion of all credentialing files for government contract employee candidates.
• Direct credentialing staff in the day-to-day management of the overall credentialing process
• Facilitate contact with various business units to include subcontractors and military installations
• Recommend effective solutions to complex credentialing issues
• Effectively handle and delegate multiple tasks to ensure timely deliverables and balanced workloads
• Coordinates the management of the credentialing database and associated modules
• Coordinates the management of electronic credentialing applications, to ensure distribution, receipt, processing, and timely delivery to treatment facility
• Coordinates and delegates the management of the expirable process to ensure all contracted provider licenses and certificates remain current, ensuring appropriate notification prior to expiration
• Monitors and reports turnaround times for processing of credentials applications, with continued focus on delivery of a high-quality product, with the greatest efficiency, in the least amount of time
• Develops, recommends, and/or implements changes, revisions, and enhancements as appropriate to current operating environment
• Analyzes credentialing standards and develops criteria to ensure compliance; revises general aspects of credentialing and privileging process as necessary; makes recommendations for and implements changes in policies and procedures
• Prepares for and coordinates credentialing audits in compliance with delegated credentialing contracts
• Functions as primary credentials contact for all internal and external inquiries; develops and maintains positive internal and external working relationships

Education:

• Bachelor’s Degree or higher
• NAMSS CPCS or CPMSM certification

Other Duties:

This job description may not cover or contain a comprehensive listing of activities, duties or responsibilities required for this job. Duties, responsibilities, and activities may change anytime with or without notice.

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