Credentialing Supervisor

Job Description

Job Description

Join VillageCare as a Full Time Credentialing Supervisor and embrace a unique opportunity to shape the future of healthcare from the comfort of your own home. Our dynamic work-from-home flexibility allows you to balance your professional and personal life while contributing to a customer-centric organization dedicated to excellence and integrity. As a Credentialing Supervisor, you will lead a team that plays a crucial role in ensuring healthcare professionals meet the highest standards. This position not only empowers you to be a smart problem solver but also enables you to work collaboratively in an energetic and forward-thinking environment.

With a competitive salary range of $58,039.46 - $65,294.40 , this role is designed for those who aspire to make a real difference in the healthcare sector. You will have benefits such as PTO package, 10 Paid Holidays, Personal and Sick time, Medical / Dental / Vision, HRA / FSA, Education Reimbursement, Retirement Savings 403(b), Life & Disability, Commuter Benefits, Paid Family Leave, and Additional Employee Discounts. Don't miss this chance to be part of a company that values your expertise and fosters professional growth in the heart of New York, NY.

A little about us

VillageCare is a community-based, not-for-profit organization serving people with chronic care needs, as well as seniors and individuals in need of continuing care and managed care services. Our mission is to promote healing, better health and well-being to the fullest extent possible. Our care is offered through a comprehensive array of community and residential programs, as well as managed care. VillageCare has delivered quality health care services to individuals residing within New York City for over 45 years.

Make a difference as a Credentialing Supervisor

As a Full Time Credentialing Supervisor at VillageCare, you will play a pivotal role in ensuring that our VillageCareMAX provider network meets the stringent credentialing and re-credentialing standards set by the NYS Department of Health, CMS, and NCQA. Your responsibilities will include the credentialing of organizational and institutional providers, as well as managing the implementation and upkeep of the provider portal. You'll facilitate the timely exchange of information with the Credentials Verification Organization (CVO) for practitioners and allied professionals, ensuring compliance with all regulatory requirements. Daily tasks will also involve quality audits of provider data, preparation of the credentialing committee agenda, and effective communication with providers regarding their credentialing status. In this dynamic position, you will collaborate closely with Operations to implement new contracts, contributing to special projects related to contracting and credentialing while ensuring that all electronic files and departmental databases are meticulously maintained.

You will report directly to the Senior Credentialing Manager, making this an exciting opportunity to impact healthcare quality.

Are you a good fit for this Credentialing Supervisor job?

To thrive as a Full Time Credentialing Supervisor at VillageCare, a robust skill set is essential. Candidates should possess a Bachelor's degree (BS / BA preferred) and have over 5 years of credentialing experience in a health plan, hospital, or Managed Care Organization (MCO) setting. Proficiency in Microsoft Office Suite, including Excel, Access, and SQL, is crucial for managing data and reporting.

Strong planning and organizational skills will enable you to effectively oversee credentialing processes. Excellent communication and interpersonal skills are necessary for interacting with providers and team members, ensuring clear and effective exchanges of information. Additionally, you should demonstrate the ability to use sensory skills to interact with colleagues and the public, as well as possess the manual dexterity needed to operate office equipment.

While the role may involve minimal physical activity such as lifting up to 10 lbs and remaining stationary for extended periods, your dedication to excellence will drive success in this vital healthcare position.

Knowledge and skills required for the position are :

• A college degree (BS / BA) preferred.
• 5+ years of credentialing experience in a health plan, hospital or MCO setting.
• Knowledge of Microsoft Office, Excel, Access and SQL.
• Planning and Organizing. Communication Skills. Interpersonal Skills.
• Must have use of sensory skills in order to effectively communicate and interact with other employees and the public through the use of the telephone and personal contact as normally defined by the ability to see, read, talk, hear, handle or feel objects and controls.
• Manual dexterity necessary to efficiently operate office equipment.
• Minimal bending, carrying, kneeling, crawling, reaching, pushing and pulling.
• Ability to lift up to 10 lbs.
• May be required to stand and / or remain in a stationary position for long periods of time.

Get started with our team!

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Job Posted by ApplicantPro