Supervisor, Provider Operations – Credentialing

Role Overview

• Manage the day-to-day activities regarding provider data management and credentialing.
• Serve as a subject matter expert and support quality assurance, internal and external auditing of the key processes.
• Ensure system compliance and acceptance testing, and drive process improvements designed to increase operational effectiveness.
• Document new policies and procedures, develop and maintain training materials, and assist with onboarding new staff.
• Manage a team of up to 10 to 14 credential specialists I and II.

Requirements

• Bachelor's degree OR a minimum of 3 years' experience in healthcare insurance working with a provider, network, or contract data; OR a combination of education and experience, which would provide an equivalent background
• Healthcare
• 3 years REQUIRED
• Health plan experience is preferred
• Understanding health claims processing is a plus.

Benefits

• Medical, Dental, Vision plans
• Adoption, Fertility and Surrogacy Reimbursement up to $10,000
• Paid Time Off and Sick Leave
• Paid Parental & Family Caregiver Leave
• Emergency Backup Care
• Long-Term, Short-Term Disability, and Critical Illness plans
• Life Insurance
• 401k/403B with Employer Match
• Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education
• Student Debt Pay Down – $10,000
• Reimbursement for certifications and free access to complete CEUs and professional development
• Pet Insurance
• Legal Resources Plan
• Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met.