Manager, Credentialing (H)

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The Department of Medical Student Education has an exciting opportunity for a full-time Manager, Credentialing to work in Miami, FL.

The Manager, Credentialing oversees of all credentialing related functions while adhering to NCQA standards. Moreover, the incumbent directs the team to ensure all providers start on expected start date and all expiable documents are maintained and current.

This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.

Oversees multiple departmental functions to support contracted facilities across all divisions.

Manages provider onboarding process, both internally and externally.

Oversees process in support of contract compliance.

Ensures departmental guidelines support NCQA compliance.

Performs annual reviews on direct reports to foster development.

Identifies and analyzes the design of jobs, work processes, and work flows for the department.

Implements appropriate changes to improve effectiveness, productivity, and efficiency.

Performs audit procedures in support of quality improvements, timelines, and accountability.

Develops and manages audit controls.

Tracks trends to promote compliance, process enhancement, and efficiency.

Ensures team is following all established processes and procedures, and meeting established deadlines.

Establishes and continuously assesses the effectiveness of the internal controls within the unit and compliance with University policies and procedures.

Ensures employees are trained on controls within the function and on University policy and procedures.

This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.

MINIMUM QUALIFICATIONS

Bachelor’s degree in relevant field

Minimum 5 years of relevant experience

Knowledge of business and management principles.

Ability to direct, manage, implement, and evaluate department operations.

Ability to establish department goals and objectives that support the strategic plan.

Ability to effectively plan, delegate and / or supervise the work of others.

Ability to lead, motivate, develop and train others.

Any appropriate combination of relevant education, experience and / or certifications may be considered.

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The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more.

UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine.

As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year.

Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. We're the challenge you've been looking for.

Patient safety is a top priority. As a result, during the Influenza ("the flu") season (September through April), the University Of Miami Miller School Of Medicine requires all employees who provide ongoing services to patients, work in a location (all Hospitals and clinics) where patient care is provided, or work in patient care or clinical care areas, to have an annual influenza vaccination.

Failure to meet this requirement will result in rescinding or termination of employment.

The University of Miami is an Equal Opportunity Employer - Females / Minorities / Protected Veterans / Individuals with Disabilities are encouraged to apply.

Applicants and employees are protected from discrimination based on certain categories protected by Federal law. Click here for additional information.

Job Status : Full time

Full time

Employee Type : Staff

Staff

Pay Grade :