Medical Staff Credentialing Manager

AdventHealth; Florida; On-site; USD 66,000 - 123,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Life insurance

Disability insurance

Paid Time Off

403-B Retirement Plan

Parental Leave

Career Development

Well-being resources

Mental Health resources

Pet Benefits

Job summary

AdventHealth is seeking a Credentialing Director to lead the MSO/CVO credentialing teams at our Florida facility. You will oversee workflow, staff training, and timely credentialing recredentialing processes while ensuring compliance with state and federal standards.

The role requires CPCS/CPMSM credentials with 4+ years in healthcare credentialing, strong leadership, and excellent policy development skills. Salary and benefits reflect AdventHealth standards and Florida regulations.

Qualifications

• Demonstrated management and supervisory skills
• Knowledge of credentialing and privileging principles
• Strong written and verbal communication skills
• Experience with policy and job description drafting
• Experience with credentialing databases and reporting

Responsibilities

• Directly manages all credentialing staff and workflow design
• Supervises credentialing staff for appointments, reappointments and privileges
• Evaluates applications and provides guidance to staff and physician leaders
• Ensures compliance with credentialing guidelines and regulations
• Trains staff on credentialing standards and customer service
• Oversees credentialing correspondence and committee coordination
• Manages credentialing verification processes for AdventHealth Health Care System
• Develops policies and SOPs for credentialing operations
• Grants clinical privileges per policy and reports metrics to leadership
• Performs additional duties as assigned

Skills

Leadership

Credentialing

Policy writing

Communication

Problem solving

Customer service

MS Office

Medical terminology

Education

Bachelor's degree in Business Administration, Management or Health-related field

Tools

Credentialing software

Job description

Our promise to you:

Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

All the benefits and perks you need for you and your family:

• Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance
• Paid Time Off from Day One
• 403-B Retirement Plan
• 4 Weeks 100% Paid Parental Leave
• Career Development
• Whole Person Well-being Resources
• Mental Health Resources and Support
• Pet Benefits

Schedule:

Full time

Shift:

Day (United States of America)

Address:

893 HOPE WAY

City:

ALTAMONTE SPRINGS

State:

Florida

Postal Code:

32714

Job Description:

• Directly manages all CVO or MSO staff as applicable, including workflow design, work allocation, training, promotion, enforcement of internal procedures and controls, and problem resolution.
• Supervises credentialing staff for timely assessment of appointments, reappointments, credentialing, recredentialing, and delineation of clinical privileges.
• Evaluates problem applications, provides guidance to staff and physician leaders, and informs the Director for resolution if necessary.
• Assesses systems and develops improved processes while ensuring compliance with credentialing guidelines, state and federal statutes, standards, and regulations.
• Trains and provides ongoing guidance on credentialing, standards, privileging, bylaws, rules, regulations, and customer service enhancement.
• Oversees correspondence issued by support staff pertaining to medical staff credentialing matters and delegates tasks for committee meeting preparation and coordination.
• Manages delegated credentialing verification services for AdventHealth Health Care System.
• Develops departmental policies, procedures, and standard operating procedures related to credentialing operations and staff. Provides consultation to medical staff, allied health professionals, administration, and other hospital departments, addressing and facilitating issues and concerns.
• Manages the granting of clinical privileges in accordance with medical staff policies, including temporary privileges for medical staff members and allied health professionals. Reports credentialing data, significant issues, process improvement, staffing performance, and planning to the Director.
• Performs other duties as assigned.

Knowledge, Skills, and Abilities:

• Demonstrated management and supervisory skills including delegating, coaching, mentoring, and disciplining [Required]
• Demonstrated knowledge of credentialing and privileging principles [Required]
• Demonstrated ability to think independently, exercise reliable judgment, and problem-solve [Required]
• Demonstrated written and verbal communication skills, including writing of policy and job descriptions [Required]
• Demonstrated ability to maintain emotional stability, calm disposition, and diffuse confrontational situations [Required]
• Demonstrated ability to react effectively to unplanned circumstances, demands, and challenges including flexible work schedules [Required]
• Demonstrated ability to function in a fast-paced, high-pressured environment [Required]
• Demonstrated interpersonal skills and ability to relate cooperatively and constructively with customers, co-workers, and staff; ability to maintain confidentiality [Required]
• Demonstrated intermediate computer skills, credentialing software, and information systems knowledge; ability to generate management and production reports, documents, and correspondence independently [Required]
• Strong knowledge of medical terminology [Required]
• Knowledge of Microsoft Office applications, including Word, Outlook, Excel, Access, and PowerPoint [Required]
• Knowledge of primary source verification processes and procedures [Required]
• Knowledge of The Joint Commission or NCQA regulations [Required]
• Knowledge of any governing bodies such as policies, bylaws, or other compliance standards to serve as a stakeholder resource as appropriate to the office. [Required]
• Current knowledge and experience in credentialing and re-credentialing medical staff members in an acute care hospital [Required]

Education:

• Bachelor's [Required]

Field of Study:

• in Business Administration, Management or Health-related field.

Work Experience:

• 4+ in a healthcare setting [Required]
• Experience in Medical Staff or Credentialing [Required]
• 1+ year of leadership experience [Required]
• Experience in leading organization change [Preferred]

Licenses and Certifications:

• Certified Provider Credentialing Specialist (CPCS) [Required] OR Certified Professional Medical Staff Management (CPMSM) [Required]

Physical Requirements: Physical Requirements - https://tinyurl.com/23km2677

Pay Range:

$66,170.74 - $123,073.07

Background Screening Requirement (Florida Law)

Certain positions are subject to Florida Level 2 background screening, including fingerprinting, as required by state law.

Applicants may review general information about Florida’s background screening requirements at the Florida Care Provider Background Screening Clearinghouse:
https://info.flclearinghouse.com/

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.