10 часов назад
Director of Credentialing (Healthcare)
130 000 - 145 000$
Мэтч & Сопровод
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Описание вакансии
Текст:
TL;DR
Director of Credentialing (Healthcare): Leading direct and delegated credentialing operations for a fertility and family-building healthcare provider network with an accent on regulatory compliance, audit readiness, data governance, and provider lifecycle management. Focus on improving credentialing workflows, monitoring KPIs and SLAs, managing risks and vendors, and supervising credentialing staff.
Location: New York, New York; hybrid schedule with three days per week in the office. Candidates must be based in the United States.
Salary: $130,000–$145,000 annual base salary, plus cash bonus and equity.
Company
provides fertility, family-building, and women’s health benefits, including access to a network of specialized healthcare providers and digital support services.
What you will do
- Oversee direct and delegated credentialing processes and ensure accreditation and regulatory compliance.
- Lead credentialing operations, including database maintenance, workflow improvement, reporting, policy development, and staff supervision.
- Support compliance through document reviews, delegated-entity audits, sanctions and complaints reviews, site reviews, and corrective action planning.
- Define and monitor credentialing KPIs and SLAs, including turnaround time, quality audits, and file completeness.
- Manage provider escalations, committee governance, vendors and CVOs, provider lifecycle workflows, and stakeholder training.
- Establish data governance and deliver reporting on credentialing risks, trends, data integrity, access controls, and audit trails.
Requirements
- Must be based in the United States and authorized to work in the United States without sponsorship.
- 10+ years of experience in medical staff services or credentialing.
- Proven experience hiring, coaching, and managing employee performance.
- Working knowledge of The Joint Commission, NCQA, CMS Conditions of Participation, and applicable state and federal requirements.
- Experience with delegated credentialing oversight, audit readiness, credentialing software or CVO platforms, databases, reporting tools, policies, workflows, and metrics.
- CPCS or CPMSM certification required. Bachelor’s degree preferred or equivalent experience.
Culture & Benefits
- Three office days per week, with onsite meals and snacks for employees reporting to the New York office.
- Medical, dental, vision, and life insurance options, plus mental health and wellness support.
- Paid family and parental leave, fertility and family-building benefits, family and pet care support, and menopause and midlife care.
- Paid time off, including vacation, sick leave, personal days, and summer flex time.
- Company equity, bonus program, and 401(k) plan with company match.
- Learning and development programs, mentorship, legal and financial advice, social events, and volunteer opportunities.
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