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Director of Credentialing (Los Angeles)
Director of Credentialing (Los Angeles)Novaris Search • Los Angeles, CA, United States
Director of Credentialing (Los Angeles)

Director of Credentialing (Los Angeles)

Novaris Search • Los Angeles, CA, United States
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Novaris Search is currently partnered with a growing Ophthalmology group seeking an experienced professional to lead as Director of Credentialing. You will be responsible for ensuring the accuracy, efficiency and compliance of payor enrollment and credentialing.

Responsibilities :

  • Oversee and optimize the utilization of credentialing software platforms, ensuring they operate efficiently and adhere to compliance standards.
  • Supervise the entire credentialing and re-credentialing processes from start to finish.
  • Assume ownership for resolving escalated issues with payers and regulatory bodies.
  • Track credentialing timelines, relevant performance KPIs, and develop process improvement models.
  • Deliver impactful leadership by guiding, coaching, assessing, and mentoring staff to identify and implement enhancement opportunities.
  • Efficiently manage and establish goals with a focus on optimizing resources.

Qualifications :

  • Bachelors Degree (preferred).
  • Minimum 5 years credentialing experience.
  • Proficient in credentialing software (E.g Modio, Medallion, OneApp).
  • Knowledge of enrollment in healthcare.
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    Director Credentialing • Los Angeles, CA, United States