Delegation Manager

multicare; United States; On-site; USD 83,000 - 119,000; Full time

Job summary

MultiCare in the United States seeks a Manager of Delegated Credentialing to oversee delegation credentialing activities, coordinate functions, and serve as liaison between providers, staff, leadership and payors. This role supports the MAP Committee and onboarding of new MHS affiliates, ensuring accurate credentialing processes.

This role ensures compliance with accrediting bodies, manages audits, guides onboarding, and leads a credentialing team with a focus on confidentiality and data

Qualifications

• Minimum five (5) years Medical Staff Services experience
• Credentialing experience in an acute care setting and delegation oversight audits
• Minimum three (3) years of supervisory or lead capacity
• Data Analysis experience
• Credentialing database experience preferred
• Health Plan Delegation experience strongly preferred

Responsibilities

• Oversee delegation credentialing activities and coordination of delegation functions
• Act as liaison between provider, staff, leadership and payors; facilitate communications
• Provide operational support for MAP Committee and onboarding of new affiliates
• Ensure compliance with accrediting/regulatory standards (JCAHO, NCQA, CMS, WA) and audits

Skills

Data Analysis

Supervisory experience

Education

Associate's degree

CPCS certification (preferred)

Tools

Credentialing database

Job description

Join a team that shares your calling

At MultiCare, you're more than just a job title - you're part of a team built on trust that cares for each other, our patients and our communities. Belonging here means living our mission and values every day. If your purpose and passions align with ours, you'll find a place to grow, do meaningful work and build a career you love in a community that feels like home.

FTE: 1.0_, Shift:Days _, Schedule: _M-F

Position Summary

The Manager of Delegated Credentialing is responsible for the operational oversight of all delegation credentialing activities and the coordination of delegation credentialing functions. Acts as a liaison between the provider, staff, hospital/clinic leadership and payors; and facilitates communications between these entities as appropriate. The manager directs and provides operational support for the MAP (MultiCare Ambulatory Provider) Committee, and project management oversight of new MHS affiliates and subsequent provider onboarding. Serves as a subject matter expert and provides insight to the organization as it relates to delegation of credentialing requirements. This position is also responsible managing the credentialing and re-credentialing delegation activities. Assists in compliance with accrediting and regulatory agencies (i.e. JCAHO, NCQA, CMS, and WA State), maintaining a working knowledge of the statutes, laws and standards. Performs pre/sub-delegation credentialing audits for the MHS and CIN networks; preps and participates in the annual delegated health plan audits; performs ongoing monitoring and reporting out on any quality actions taken upon credentialed providers.

The manager maintains the confidentiality of all work and delegation credentialing information. Assists in managing the flow of information between the Medical Staff Services team members, MMA Leadership and Administration. Establishes processes to assure the accuracy and integrity of the credentialing database system for delegated providers. Reports to the Executive Medical Staff Services Director to support delegated credentialing activities and special projects for all physicians and health care affiliates within MultiCare Health System hospitals and MultiCare Medical Group and MultiCare Connected Care CIN, under the authority of the Chiefs of Staffs of the Medical Staffs and the MHS Sr. VP-Chief QIMA Officer. Work situations are varied and involve highly confidential information and require a professional demeanor, organizational skills, independence and attention to detail.

The manager provides direction and oversight to delegation credentialing staff. Monitors staff compliance with operational policies, seeking staff involvement and collaboration in the development/revision of policies, including the encouragement of on-going process improvement discussions. Hospital-based leaders may have a dual matrixed reporting structure.

Requirements

• Minimum of an Associate's degree equivalent additional relevant experience in lieu of education will be considered
• Certified Provider Credentialing Specialist (CPCS) by the National Association of Medical Staff Services preferred
• Minimum five (5) years Medical Staff Services experience; credentialing experience in an acute care setting and experience with delegation oversight assessments/audits
• Minimum three (3) years of experience in a supervisory or lead capacity
• Data Analysis experience
• Previous experience and demonstrated skills in a supervisory or lead capacity
• Credentialing database experience preferred
• Health Plan Delegation experience strongly preferred

Why MultiCare?

• Rooted in the local community
• Partnering with patients, families and neighbors across the Pacific Northwest for more than 140 years.
• Growth and education
• Competitive tuition assistance, award-winning residencies, fellowships and career development to invest in you.
• Well-being and support
• Generous PTO, Code Lavender and Employee Assistance Programs to help you maintain balance and feel cared in your work and life.
• Living our values
• Respect, integrity, kindness and collaboration guide how we care for patients, communities and each other.
• Belonging for all
• Resource Groups and outreach programs help ensure every team member feels safe, seen, heard and valued.
• Pacific Northwest lifestyle
• Work and live where natural beauty, adventure and strong community connections are part of everyday life.

Pay and Benefit Expectations

We provide a comprehensive benefits package, including competitive salary, medical, dental and retirement benefits and paid time off. As required by various pay transparency laws, we share a competitive range of compensation for candidates hired into each position. The pay scale is $82,888.00 - $119,288.00 USD. However, pay is influenced by factors specific to applicants, including but not limited to: skill set, level of experience, and certification(s) and/or education. If this position is associated with a union contract, pay will