Head of Credentialing & Verification - Clinical Affairs

The University of Kansas Health System; Kansas City (KS); Sur place; USD 150 000 - 230 000; Plein temps

Résumé du poste

The University of Kansas Health System in Kansas City is seeking a Director of Credentialing and Verification Office to lead enterprise verification, credentialing, and oversight of medical staff office capabilities. The role partners with the Associate Chief Medical Officer and drives standardization across the system.

Responsibilities include leading credentialing system ownership, continuous process improvement, and KPIs to ensure compliance and efficiency.

Qualifications

• Bachelor’s degree in healthcare management, business administration, or related field.
• 5+ years of healthcare experience with medical staff office/credentialing/provider services.
• Experience with delegated credentialing.
• Experience leading and managing direct reports, preferably in a production-related setting.
• Experience with provider enrollment processes.

Responsabilités

• Reports to the Associate Chief Medical Officer in the Clinical Affairs Department.
• Oversees and leads enterprise verification function for credentialing including primary source verification, application management, and data gathering for provider enrollment.
• Acts as enterprise process owner for provider credentialing and oversees the credentialing system/platform.
• Drives continuous improvement in credentialing processes and related areas such as provider enrollment and onboarding.
• Develops and monitors KPIs to assess credentialing effectiveness, efficiency and compliance.
• Leads medical staff office managers and their teams.
• Oversees initial credentialing and re-credentialing of all providers.
• Ensures licensures and certificates are current and filed in credentialing files.
• Supports Medical Staff activities and meetings and oversees delegated payor audits.

Connaissances

Credentialing

Leadership

Provider enrollment

Process improvement

Data analytics

Communication

Formation

Bachelor’s degree in healthcare management or related field

5+ years healthcare experience in medical staff/credentialing

Experience with delegated credentialing

Experience leading direct reports

Experience with provider enrollment

Outils

Credentialing software

Microsoft Office

Description du poste

The University of Kansas Health System in Kansas City is seeking a Director of Credentialing and Verification Office to lead enterprise verification, credentialing, and oversight of medical staff office capabilities. The role partners with the Associate Chief Medical Officer and drives standardization across the system.

Responsibilities include leading credentialing system ownership, continuous process improvement, and KPIs to ensure compliance and efficiency.