Healthcare Credentialing Verification Lead

Orlando Health, Inc.; Orlando (FL); On-site; USD 70,000 - 100,000; Full time

Benefits offered by this job

All Inclusive Benefits (start day one)

Job summary

Orlando Health, Inc. is seeking a Credentialing Manager to oversee the Credentialing Verification Office (CVO) and related teams, ensuring credentialing verifications, enrollment alignment and regulatory compliance across sites.

The role requires seven years of credentialing experience, knowledge of NCQA standards, and strong leadership to manage provider data and payer contracting processes in a complex healthcare system.

Qualifications

• Seven (7) year s' applicable credentialing experience.
• Bachelor's degree may substitute for 3 years of the required experience.

Responsibilities

• Manages the primary source verifications, recredentialing functions and customer services aspect of the CVO.
• Lead CVO in customer service’s needs, building team of subject matter experts, and enhancing onboarding turnaround times.
• Accountable for Service Line Agreements with stakeholders of the CVO, including Medical Staff Services, site Credentialing Committees, and local Medical Staff Offices.
• Accountable for Key Performance Indicators associated with team performance and turnaround times.
• Direct responsibility for all provider follow up, including external and internal media pages.
• Manages physician credentialing database and takes steps necessary to ensure integrity of the data maintained.

Skills

Credentialing experience

Education

High School Diploma

Job description

Orlando Health, Inc. is seeking a Credentialing Manager to oversee the Credentialing Verification Office (CVO) and related teams, ensuring credentialing verifications, enrollment alignment and regulatory compliance across sites.

The role requires seven years of credentialing experience, knowledge of NCQA standards, and strong leadership to manage provider data and payer contracting processes in a complex healthcare system.