Current jobs related to Manager, Delegated Credentialing - Chicago, Illinois - Oak Street Health
-
Chicago, Illinois, United States American Dental Association Full timeAbout the RoleThe American Dental Association is seeking a highly skilled Senior Manager to oversee the ADA's existing Credentialing Service powered by CAQH and launch a new business endeavor to support delegated credentialing for multi-site group practices.Key ResponsibilitiesOversee the ADA's existing Credentialing Service powered by CAQH and launch a new...
-
Chicago, Illinois, United States American Dental Association Full timeAbout the RoleThe American Dental Association is seeking a highly skilled Senior Manager to oversee the ADA's existing Credentialing Service powered by CAQH and launch a new business endeavor to support delegated credentialing for multi-site group practices.Key ResponsibilitiesManage the ADA's Credentialing Service, working with an interdivisional team to...
-
Credential Programs Manager
4 weeks ago
Chicago, Illinois, United States University of Chicago Full timeAbout the RoleThe University of Chicago is seeking a highly skilled and experienced professional to serve as the Assistant Director of Credential Programs in the Student Recruitment and Global Outreach (SRGO) team. This is a key role that will play a critical part in the development and implementation of non-degree credential programs at the Harris School of...
-
Credentialing Coordinator
2 days ago
Chicago, Illinois, United States Rush University Full timeJob SummaryWe are seeking a highly organized and detail-oriented Credentialing Coordinator to join our team at Rush University Medical Center. The successful candidate will be responsible for coordinating, monitoring, and maintaining the credentialing and re-credentialing of Provider Applicants.Key Responsibilities:Collect and verify critical data to...
-
Credentialing Specialist
4 weeks ago
Chicago, Illinois, United States The University of Chicago Medicine Full timeJob SummaryWe are seeking a highly organized and detail-oriented Medical Staff Coordinator to join our team at The University of Chicago Medicine. As a Medical Staff Coordinator, you will play a critical role in managing the medical staff credentialing program and supporting the Medical Staff Organization function.Key ResponsibilitiesProcess Medical Staff...
-
Credentialing Specialist
2 weeks ago
Chicago, Illinois, United States Rehabilitation Institute of Chicago Full timeJob SummaryThis role is responsible for processing applications from physicians for medical staff appointment, clinical privileges, and reappointment to the SRALAB Medical Staff. The successful candidate will also manage credentialing with managed care companies and obtain Medicare/Medicaid/IDPH provider numbers for physicians, nurse practitioners, and...
-
Credentialing Specialist
2 weeks ago
Chicago, Illinois, United States Rehabilitation Institute of Chicago Full timeJob SummaryThis role is responsible for processing all applications from physicians for medical staff appointment, clinical privileges, and reappointment to the SRALAB Medical Staff. The successful candidate will also manage credentialing with companies who contract with SRALAB and obtain Medicare/Medicaid/IDPH provider numbers for physicians, nurse...
-
Credentialing Specialist
2 weeks ago
Chicago, Illinois, United States Louis A Weiss Memorial Medical Center, LLC Full time## Job Summary We are seeking a highly skilled Credentialing Specialist to join our team at Louis A Weiss Memorial Medical Center, LLC. As a key member of our Medical Staff Office, you will play a critical role in ensuring the accuracy and efficiency of our physician credentialing process. ## Key Responsibilities * Coordinate and monitor the...
-
Credentials Coordinator
2 weeks ago
Chicago, Illinois, United States The University of Chicago Medicine Full timeJob SummaryWe are seeking a highly organized and detail-oriented Credentials Coordinator to join our team at The University of Chicago Medicine. As a key member of our Medical Staff Administration department, you will play a critical role in managing the medical staff credentialing program and supporting the Medical Staff Organization function.Key...
-
Credentials Coordinator
2 weeks ago
Chicago, Illinois, United States The University of Chicago Medicine Full timeJob SummaryWe are seeking a highly organized and detail-oriented Credentials Coordinator to join our team at The University of Chicago Medicine. As a key member of our Medical Staff Administration department, you will play a critical role in managing the medical staff credentialing program and supporting the Medical Staff Organization function.Key...
-
Credentials Coordinator
2 weeks ago
Chicago, Illinois, United States The University of Chicago Medicine Full timeJob SummaryWe are seeking a highly organized and detail-oriented Credentials Coordinator to join our team at The University of Chicago Medicine. As a key member of our Medical Staff Administration department, you will play a critical role in managing the medical staff credentialing program and supporting the Medical Staff Organization function.Key...
-
Credentialing Associate
4 weeks ago
Chicago, Illinois, United States Oak Street Health Full timeAbout Oak Street HealthWe are a rapidly growing, innovative company of community-based healthcare centers delivering higher quality health and wellness care that improves outcomes, manages medical costs and provides an unmatched experience for adults on Medicare.Our MissionWe aim to rebuild healthcare as it should be, integrating outstanding clinical...
-
Credentialing Specialist in Healthcare
1 month ago
Chicago, Illinois, United States Managed Care Staffers Full timePosition Overview: We are currently seeking a dedicated Physician Credentialing Specialist to join our team in a hybrid work environment. This role is essential in supporting our organization in the credentialing process for a significant number of healthcare providers. Job Responsibilities: Manage the complete credentialing process for physicians across...
-
Provider Enrollment and Credentialing Specialist
1 month ago
Chicago, Illinois, United States Balance Health Full timeAbout Balance Health Balance Health is dedicated to enhancing the quality of life for individuals by improving and sustaining mobility. We achieve this by uniting top-tier podiatrists, orthopedic surgeons, vascular surgeons, and physical therapists, equipping them with the essential tools and resources to provide outstanding patient care. This commitment has...
-
Assistant Director of Credential Programs
2 weeks ago
Chicago, Illinois, United States University of Chicago Full timeAbout the RoleThe University of Chicago is seeking a highly skilled and experienced professional to serve as the Assistant Director of Credential Programs in the Student Recruitment and Global Outreach (SRGO) team. This is a key role that will play a critical part in the development and implementation of non-degree credential programs at the Harris School of...
-
Provider Enrollment and Credentialing Specialist
1 month ago
Chicago, Illinois, United States Balance Health Full timeJob OverviewAbout Balance HealthAt Balance Health, we are dedicated to enhancing the quality of life for individuals by promoting mobility and wellness. Our team comprises top-tier podiatrists, orthopedic surgeons, vascular surgeons, and physical therapists, all working collaboratively to provide outstanding patient care. This commitment has positioned us as...
-
Provider Credentialing Specialist
1 week ago
Chicago, Illinois, United States Sinai Chicago Full timeAbout UsSinai Chicago is a healthcare organization that prioritizes patient-centered care, dignity, and respect. Our mission is to provide exceptional healthcare services to our community, patients, and staff.Job SummaryThe Provider Credentialing Assistant plays a critical role in supporting the Network Development Team, Central Scheduling, Revenue Cycle,...
-
Credentialing Compliance Specialist
1 month ago
Chicago, Illinois, United States F & I Sentinel Llc Full timeJob Title:Credentialing Compliance SpecialistLocation:Remote with minimal travel requirements.Reports To:Product SupervisorsKey Relationships and Team:The Credentialing Compliance Specialist will collaborate closely with Product Supervisors and fellow Compliance Analysts/Compliance Attorneys in the evaluation of all assigned submissions. This role will also...
-
Medical Staff Credentialing Specialist
1 month ago
Chicago, Illinois, United States The University of Chicago Medicine Full timePosition Overview:Become an integral part of a prestigious academic healthcare institution, The University of Chicago Medicine, as a Credentials Coordinator. This role is pivotal in overseeing the medical staff credentialing program and enhancing the functionality of the Medical Staff Organization.Key Responsibilities:Manage the processing of medical staff...
-
Lead Credential Developer
5 days ago
Chicago, Illinois, United States Salesforce Full timeAbout SalesforceWe're Salesforce, the Customer Company, inspiring the future of business with AI+ Data +CRM. Our core values drive us to help companies across every industry blaze new trails and connect with customers in a whole new way. We empower you to be a Trailblazer, too — driving your performance and career growth, charting new paths, and improving...
Manager, Delegated Credentialing
4 months ago
Company:
Oak Street Health
Title:
Manager of Delegated Credentialing
Location:
Remote; Treehouse
Role Description
The Delegated Credentialing Manager is responsible for supporting multiple specialty areas of business operations surrounding delegated credentialing, and will execute the strategic business plan as well as lead the day-to-day functions and staff, encompassing delegated provider oversight for diverse programs/projects.
This position will work closely with our credentialing team to support implementation of delegated credentialing as well as the expansion, retention and compliance with our delegated contracts.
This involves front end work with new providers and states, ongoing credentialing, and back-end handling of any upcoming license & malpractice renewals or provider terminations / transitions.
The scope will include oversight of the credentialing process for our over 700 provider practice across 25 states and growing.
The position will report to the Director of Credentialing.- Manages all aspects of the delegated credentialing process within their designated team to ensure accuracy, completeness, and timeliness of key credentialing activities.
- Oversees the delegated credentialing process, from predelegation assessment to monthly file receipt and processing to annual audits
- Ensures delegated credentialing program is compliant with the standards established by the National Committee for Quality Assurance (NCQA), the Centers for Medicare and Medicaid Services, and other regulatory agencies, as needed
- Performs predelegated audits and annual assessment audits to ensure delegated entities are compliant with THP policies and procedures as well as all accreditation, regulatory, and governing entities
- Prepares predelegated annual assessment audits including scheduling audits and sending pre and post audit letters and communications
- Supports establishment of credentialing standards and analyzes workflows that promote best practices.
- Champions innovation and implements performance management strategies as needed to optimize team member contributions
- Direct managerial responsibilities including hiring, training, mentoring and coaching to all credentialing team members
- Cultivates positive interpersonal relationships with internal and external clients, medical services professionals, practitioners, ancillary staff and senior management.
- Collaborates with Director and other key staff on management of an ongoing credentialing performance improvement initiatives
- Partners with the Director to develop and implement long and shortterm goals for the designated team.
- Provides support to the Director for interpretation, development, and implementation of all systems and functions to ensure continuous compliance with all regulations.
- Perform administrative and other duties as assigned
What are we looking for?
- A bachelor's degree or minimum 5 years' credentialing work experience.
- 2+ years in management/supervisory role.
- Professional communication skills with both staff and executive levels
- Attention to detail and strong organizational skills
- Sense of urgency
- Flexible and positive attitude
- High level of integrity
- Experience with CredentialStream/Verity preferred
- Certified Provider Credentialing Specialist (CPCS) preferred
- U.S. work authorization
- Someone who embodies being 'Oaky'
What does being 'Oaky' look like?
- Radiating positive energy
- Assuming good intentions
- Creating an unmatched patient experience
- Driving clinical excellence
- Taking ownership and delivering results
- Being relentlessly determined
Why Oak Street Health?
Oak Street Health is on a mission to 'Rebuild healthcare as it should be'', providing personalized primary care for older adults on Medicare, with the goal of keeping patients healthy and living life to the fullest.
Our innovative care model is centered right in our patient's communities and focused on the quality of care over the volume of services.
We're an organization on the move With over 150 locations and an ambitious growth trajectory, Oak Street Health is attracting and cultivating team members who embody 'Oaky' values and passion for our mission.
Oak Street Health Benefits:
- Missionfocused career impacting change and measurably improving health outcomes for Medicare patients
- Paid vacation, sick time, and investment/retirement 401K match options
- Health insurance, vision, and dental benefits
- Opportunities for leadership development and continuing education stipends
- New centers and flexible work environments
- Opportunities for high levels of responsibility and rapid advancement
