Healthcare Credentialing Operations Leader

Trinity Health Corp.; United States; A distancia; USD 90.000 - 130.000; Jornada completa

Descripción de la vacante

Trinity Health is seeking a Credentialing Operations Manager to lead the Central Verification Office and supervise a credentialing team handling reappointment and initial credentialing for Trinity RHMs and affiliated entities.

The role focuses on staffing, performance management, and adherence to CMS, TJC, NCQA, NPDB standards. Strong leadership, communication, and organizational skills are essential for success in a collaborative healthcare environment.

Formación

• Bachelor's degree or equivalent in health care administration or related field.
• Five to seven years of health care experience with understanding of managed care concepts.
• Current CPCS and/or CPMSM eligibility by NAMS. Certification required within one year of hire.

Responsabilidades

• Oversees the Central Verification Office operations, credentialing for Trinity RHMs and affiliated entities.
• Manages staffing, budget, and performance reporting to ensure regulatory compliance.
• Develops staffing plans, training, and performance management for credentialing staff.
• Maintains provider network quality through credentialing and re-credentialing activities.
• Implements process changes to improve credentialing efficiency and policy adherence.
• Maintains confidential handling of patient and practitioner information; ensures legal compliance.

Conocimientos

Communication skills

Leadership

Problem-solving

Organizational skills

Staff supervision

Budget management

Educación

Bachelor's degree or equivalent in health care administration or related field

CPCS and/or CPMSM eligibility (NAMS)

Descripción del empleo

Trinity Health is seeking a Credentialing Operations Manager to lead the Central Verification Office and supervise a credentialing team handling reappointment and initial credentialing for Trinity RHMs and affiliated entities.

The role focuses on staffing, performance management, and adherence to CMS, TJC, NCQA, NPDB standards. Strong leadership, communication, and organizational skills are essential for success in a collaborative healthcare environment.