Key skills
LeadershipCommunicationNegotiation
About this role
Role Overview
- Provides operational leadership for WashU Medicine's delegated credentialing organization
- Works jointly with Senior Director of Managed Care Financial Contracting and Rate Analysis to secure optimal terms with third-party managed care organizations
- Manages WashU Medicine's delegated credentialing organization
- Develops and implements policies and procedures for credentialing and re-credentialing functions
- Designs and manages a centralized practitioner database
- Maintains compliance with credentialing standards and advises affiliated physician organizations
- Develops infrastructure for accurate reporting to credentialing bodies
- Coordinates site audits by managed care plans
- Negotiates managed care contract language and secures acceptable terms
Requirements
- Bachelor's degree
- No specific certification/professional license required
- Credentialing management and managed care contracting in a large faculty practice, private practice, large healthcare or third-party payor organization (5 years)
- Skills: Analytical Thinking, Business, Conceptualize Ideas, Credentialing, Credential Management, Database Applications, External Partners, Finance, Interpersonal Interactions, Negotiation, Oral Communications, Provider Credentialing, Relational Database Management, Social Interaction, Spreadsheets, Word Processing Applications, Written Communication
Benefits
- Up to 22 days of vacation
- 10 recognized holidays
- Sick time
- Competitive health insurance packages with priority appointments and lower copays/coinsurance
- Free Metro transit U-Pass for eligible employees
- Defined contribution (403(b)) Retirement Savings Plan with 7% start
- Wellness challenges
- Annual health screenings
- Mental health resources
- Mindfulness programs and courses
- Employee assistance program (EAP)
- Financial resources
- Access to dietitians
- 4 weeks of caregiver leave to bond with a new child
- Family care resources for childcare needs
- Coverage of cost of tuition for employees and family for dependent undergraduate-level college tuition up to 100% at WashU and 40% elsewhere after seven years