Company Statement
Careers at AdvantageCare Physicians: At AdvantageCare Physicians, our providers and care teams reflect our commitment to population health. Improving the health of our patients is our goal; keeping our patients healthy is our commitment. Using our state-of-the-art electronic medical record (EMR) system, our providers, care teams, and practice administration staff work together to deliver high-quality, comprehensive and convenient care to our patients.
To protect the health and safety of our workforce, members, patients, and the communities we serve, AdvantageCare Physicians require all new employees to be fully vaccinated for COVID-19. Exemption/reasonable accommodations may be granted because of 1) a qualifying medical condition or disability that makes getting the vaccine unsafe for the individual, or 2) objection on the basis of sincerely held religious beliefs and/or practices.
Credentialing Director - Hybrid
- 📁
- Credentialing
- 📅
- Aug 26, 2024 Post Date
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- 1000002036 Requisition #
Education, Training, Licenses, Certifications
• Bachelor’s degree
• Master’s degree preferred (Health or Business Administration)
Relevant Work Experience, Knowledge, Skills, and Abilities
• 10 + years’ progressive related experience working with managed care organizations, inclusive of management experience.
(R)
• Additional experience/specialized training may be considered in lieu of educational requirement. (R)
• Strong understanding of provider credentialing, related health plan processes and DOH, CMS and NCQA guidelines . (R)
• Proficient with MS Office (Word, Excel, PowerPoint, Outlook, Teams, SharePoint, etc.) and credentialing software. (R)
• Strong communication skills (verbal, written, presentation, interpersonal) with all types/levels of audiences. (R)
• Strategic and tactical perspective on how to significantly improve operational performance. (R)
• Ability to manage vendor line management and their respective staffs on a day-to-day basis. (R)
• Experience using metrics to determine results; ability to implement and enforce SLAs (Service Level Agreements). (R)
• Knowledge of contracts/terminology to determine alignment of results to goals. (R)
• Experience with outsourced processes and vendor management. (P)
Pay Disclosure
At AdvantageCare Physicians, we prioritize transparency in our compensation practices. We provide a good faith estimate of the salary range for potential hires, which is based on key factors such as role responsibilities, candidate experience, education and training, internal equity, and market conditions. Please be aware that this estimate doesn’t account for geographic differences related to your work location. Typically, new hires may not start at the top of this range, as compensation is tailored to each individual's circumstances. For union positions, salaries will be determined according to the collective bargaining agreement. Join us at AdvantageCare Physicians, where your contributions are valued and supported by fair compensation.
EEOC Statement
We value the diverse backgrounds, perspectives, and experiences of our workforce. As an equal opportunity employer, we consider all qualified applicants for employment regardless of race, color, religion, sex, sexual orientation, gender identity, pregnancy, marital status, national origin, disability, veteran status, or any other protected characteristic protected by law.