Manager, Credentialing / Verification

PIH Health Hospital; California, Los Angeles (MO, CA); On-site; USD 80,000 - 133,000; Full time

Job summary

An established healthcare network is seeking a Credentialing Manager to lead the Credentialing Verification Office. This role is crucial in ensuring effective communication between providers and the Medical Staff while overseeing the credentialing process. The ideal candidate will possess strong analytical and problem-solving skills, along with a deep understanding of medical staff best practices and regulatory requirements. Join this innovative organization and contribute to enhancing patient care and experience across a vast network of services. If you are passionate about healthcare and have a knack for leadership, this is the perfect opportunity for you.

Qualifications

• 2 years managerial experience in medical staff services required.
• In lieu of degree, 10 years of medical staff experience required.

Responsibilities

• Manage the Credentialing Verification Office (CVO) functions.
• Oversee planning and development of credentialing standards.

Skills

Analytical Skills

Negotiation Skills

Communication Skills

Knowledge of Medical Staff Best Practices

Software Proficiency

Education

Associate Degree in Health Services

10 years of Medical Staff Experience

Certified Professional Medical Services Management (CPMSM)

Certified Provider Credentialing Specialist (CPCS)

Job description

This position manages the Credentialing Verification Office (CVO) to assure that the credentialing functions are coordinated and fulfilled. Serves as an essential link between providers and the Medical Staff to promote and enhance good communications and a positive working relationship. Responsible for overseeing the vision and maintaining continuity in the planning, development, and implementation of standards applicable to Medical Staff members relating to credentialing, reappointment, and efficiencies.

PIH Health is a nonprofit, regional healthcare network that serves approximately 3 million residents in the Los Angeles County, Orange County and San Gabriel Valley region. The fully integrated network is comprised of PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, women’s health, urgent care and emergency services. The organization is nationally recognized for excellence in patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nation’s top hospital systems for best practices, cutting-edge advancements, quality of care and healthcare technology. For more information, visitPIHHealth.orgor follow us onFacebook,Twitter, orInstagram.

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Required Skills

• Excellent analytical and problem-solving skills
• Strong influencing and negotiation skills
• Effective written/oral communication and presentation skills
• In-depth knowledge of medical staff best practices, credentialing and reappointment requirements, and Medical Staff Bylaws/Rules and Regulations, and accrediting/regulatory requirements.
• Strong knowledge of applicable software programs and personal computer skills

Required Experience

Required:

• Associate degree in health services or similarly related field with 2 years managerial experience in medical staff services
• In lieu of degree, 10 years of medical staff experience with at least 2 years of managerial experience in medical staff services.
• Certified Professional Medical Services Management (CPMSM) or Certified Provider Credentialing Specialist (CPCS)
• Must obtain LA City Fire Card within 6 months of employment

Preferred:

• Advanced degree preferred.

Address
1225 Wilshire Boulevard

Salary
80288.00-132496.00

Shift
Days

FLSA Status
Salaried

Zip Code
90017