Current jobs related to Manager, Credentialing - Atlanta, Georgia - Emory Healthcare

  • Credentialing and Enrollment Operations Manager

    4 weeks ago

    Atlanta, Georgia, United States Benevis Full time

    Overview:Credentialing and Enrollment Operations ManagerBenevis LLCThe Credentialing and Enrollment Operations Manager plays a pivotal role in overseeing the daily operations of the credentialing department. This position involves leading and supervising the team, offering technical support and training, and conducting performance evaluations aligned with...

  • Credentialing Specialist

    1 week ago

    Atlanta, Georgia, United States SENTA Partners Full time

    Credentialing Coordinator Job DescriptionThe Credentialing Coordinator plays a vital role in ensuring the compliance and integrity of healthcare provider credentials, contributing to the delivery of safe and high-quality healthcare services.Key Responsibilities:Credentialing Process Management:Coordinate and manage the entire credentialing process for...

  • Credentialing Specialist

    3 days ago

    Atlanta, Georgia, United States Emory Healthcare Full time

    Job SummaryWe are seeking a skilled Credentialing Verification Specialist to join our team at Emory Healthcare. As a key member of our healthcare team, you will play a critical role in ensuring the accuracy and integrity of medical staff credentials.Key ResponsibilitiesCoordinate activities related to credentialing of Medical Staff and Allied Health...

  • Credentialing Specialist

    5 days ago

    Atlanta, Georgia, United States Emory Healthcare Full time

    Job SummaryWe are seeking a skilled Credentialing Verification Specialist to join our team at Emory Healthcare. As a key member of our healthcare team, you will play a critical role in ensuring the accuracy and integrity of medical staff credentials.Key ResponsibilitiesCoordinate activities related to credentialing of Medical Staff and Allied Health...

  • Credentialing Specialist

    2 days ago

    Atlanta, Georgia, United States SENTA Partners Full time

    Credentialing Coordinator Job DescriptionThe Credentialing Coordinator plays a vital role in ensuring the compliance and integrity of healthcare provider credentials, contributing to the delivery of safe and high-quality healthcare services.Key Responsibilities:Coordinate and manage the entire credentialing process for healthcare professionals, including...

  • Credentialing Supervisor

    3 days ago

    Atlanta, Georgia, United States D4C Dental Brands Full time

    About the RoleD4C Dental Brands is seeking a highly skilled Credentialing Supervisor to join our team. As a key member of our healthcare operations team, you will play a critical role in ensuring the quality and accuracy of provider credentialing, privileging, and payer enrollment processes.Key ResponsibilitiesServe as a liaison between the credentialing...

  • Credentialing Specialist

    2 weeks ago

    Atlanta, Georgia, United States TeleSpecialists LLC Full time

    Job DescriptionCompany OverviewTeleSpecialists LLC is a rapidly growing national telemedicine company dedicated to providing high-quality healthcare services to patients across the country.About the RoleWe are seeking a skilled Credentialing Specialist to support our credentialing process by completing and/or processing credentialing applications and...

  • Healthcare Credentialing Specialist

    3 weeks ago

    Atlanta, Georgia, United States Morehouse School of Medicine Full time

    Position Overview:The Faculty Credentialing Coordinator plays a pivotal role in the onboarding, credentialing, and re-credentialing processes for healthcare professionals. This position is essential in ensuring that all faculty members are properly credentialed. The Coordinator operates independently while frequently collaborating with colleagues within the...

  • Credentialing Coordinator

    38 minutes ago

    Atlanta, Georgia, United States Morehouse School of Medicine Full time

    About the RoleWe are seeking a highly skilled Credentialing Coordinator to join our team at Morehouse School of Medicine. As a key member of our Clinical Enterprise, you will be responsible for ensuring the accurate and timely credentialing of healthcare professionals.Key ResponsibilitiesObtain and verify credentialing documents required for provider...

  • Provider Credentialing Coordinator

    4 weeks ago

    Atlanta, Georgia, United States IDR, Inc. Full time

    Healthcare Credentialing AnalystIDR, Inc. is in search of a Healthcare Credentialing Analyst to support our esteemed client in the healthcare sector. This role offers the chance to be part of a substantial organization and contribute to a collaborative and expanding team environment.This position is fully remote, but candidates should be located in the Metro...

  • Graduate Admissions Credential Evaluator

    3 weeks ago

    Atlanta, Georgia, United States Georgia Tech Full time

    Position OverviewThe Enrollment Services Specialist II will play a crucial role in the Office of Graduate Education at Georgia Tech. This position involves the verification of academic credentials to assess degree equivalency for prospective graduate students. The selected individual will contribute to a collaborative team environment, supporting various...

  • Airport Security Manager III

    2 weeks ago

    Atlanta, Georgia, United States City of Atlanta Full time

    Job SummaryWe are seeking a highly skilled and experienced Airport Security Supervisor III to join our team at the City of Atlanta. This is a critical role that requires a strong understanding of airport security protocols and procedures.Key ResponsibilitiesManage the day-to-day operations of the Security Credentialing Office, ensuring compliance with...

  • Tangible Asset Valuation Manager

    2 weeks ago

    Atlanta, Georgia, United States FORVIS Full time

    About the RoleWe are seeking an experienced professional to join our team as a Tangible Asset Valuation Manager. As a key member of our valuation practice, you will be responsible for leading and managing fixed asset projects with clients across the nation.Key ResponsibilitiesAssist clients in understanding the valuation of fixed assets in the context of...

  • Tax Services Manager

    22 hours ago

    Atlanta, Georgia, United States KPMG Full time

    Business Title:Manager, Business Tax Services - Private EnterpriseRequisition Number:Function:Tax ServicesArea of Interest:State:GACity:AtlantaDescription:At KPMG, you will have the opportunity to become an integral part of a dynamic team at one of the world's top tax firms. Enjoy a collaborative, future-forward culture that empowers your success. Work with...

  • Pain Management Specialist

    5 hours ago

    Atlanta, Georgia, United States DOCTORS CHOICE PLACEMENT SERVICES, INC. Full time

    Pain Management Physician OpportunityDocCafe is proud to present a challenging and rewarding opportunity for a Pain Management Physician to join our team in Atlanta, Georgia.We are a premier physician and advanced practice job board dedicated to helping healthcare professionals advance their careers.As a Pain Management Physician, you will be responsible for...

  • Senior Architecture Manager

    3 weeks ago

    Atlanta, Georgia, United States Jobot Full time

    Position OverviewWe are seeking a Director of Architectural Strategy to spearhead our innovative engineering team. The ideal candidate will define the architectural vision and strategic approach, offering leadership and support to the architectural division.Key ResponsibilitiesManage projects from initial concept through to final execution.Collaborate...

  • Scientific Manager

    1 day ago

    Atlanta, Georgia, United States Exponent Full time

    Exponent OpportunityWe are seeking a Managing Scientist to join our team in Atlanta, GA. As a key member of our Practice, you will perform technical consulting responsibilities, develop business, and assist with expanding our services.Key Responsibilities:Develop client relationships and convert business opportunities to project work suitable for our...

  • Tax Manager, Korean Practice

    1 week ago

    Atlanta, Georgia, United States KPMG Full time

    Business Title: Tax Manager, Korean PracticeRequisition Number: Function: Tax ServicesArea of Interest:State: GACity: AtlantaDescription:At KPMG, you can become an integral part of a dynamic team at one of the world's top tax firms. Enjoy a collaborative, future-forward culture that empowers your success. Work with KPMG's extensive network of specialists &...

  • Director of Health Information Management and Coding

    1 week ago

    Atlanta, Georgia, United States Children's Healthcare of Atlanta Full time

    About the RoleChildren's Healthcare of Atlanta is seeking a highly skilled and experienced professional to fill the position of Director, Health Information Management and Coding. This role is a critical part of our organization's mission to provide high-quality patient care and services.Key ResponsibilitiesLeadership and Strategic PlanningDevelop and...

  • RN-Endoscopy Operations Manager

    1 week ago

    Atlanta, Georgia, United States United Digestive Full time

    Job SummaryUnited Digestive is seeking a highly skilled RN-Endoscopy Operations Manager to facilitate smooth and efficient endoscopy center operations. This role plays a critical part in cross-collaboration within the endoscopy centers leadership team and administrative team on items such as bonus goals, incidents, PHI disclosures, etc.Key...

Manager, Credentialing

3 months ago

Atlanta, Georgia, United States Emory Healthcare Full time

Overview:

The Manager, Credentialing & HR Compliance at Emory Healthcare (EHC) is a pivotal role responsible for overseeing all aspects of credentialing for all EHC licensed clinicians. This individual ensures that all non-provider roles across EHC meet the necessary qualifications, certifications, and standards required to deliver quality care and comply with regulatory requirements on an ongoing basis. The Credentialing & HR Compliance Manager works closely with various stakeholders, including staff, administration, and regulatory agencies, to streamline processes and maintain compliance.

Minimum Requirements:

  • Bachelors degree in healthcare administration, business administration, or a related field required.
  • Minimum of 3 years of experience in healthcare credentialing, with progressively increasing levels of responsibility and leadership.
  • Certification in healthcare credentialing (e.g., Certified Provider Credentialing Specialist - CPCS, Certified Professional Medical Services Management - CPMSM) or certification in HR (e.g., SHRM-SCP, HRCI) strongly preferred.In-depth knowledge of credentialing standards, regulations, and best practices, including those set forth by NCQA, CMS, and other accrediting bodies.
  • Excellent communication, interpersonal, and problem-solving skills.
  • Strong attention to detail and organizational skills.
  • Proficiency in credentialing software systems and Microsoft Office applications.
  • Ability to work independently, prioritize tasks, and manage multiple projects simultaneously.
  • Ability to work collaboratively across departments and with external partners.
  • Familiarity with HRIS systems and software applications.
Description:

Leadership

  • Provide strategic direction in the creation and management of a centralized credentialing and compliance team to reside in Human Resources
  • Develops and implements policies and standard operating procedures for credentialing and licensing of clinicians
  • Manages and supervises the credentialing and licensure team, including hiring, training, coaching, and evaluating performance; identifying the key skills required for a high performing team
  • Identifies best practices and processes to maintain the highest level of compliance possible
  • Identifies meaningful KPIs for the team by developing key metrics to hold team accountable to policies and SOPs as it relates to credentialing and compliance
  • Supports and cultivates an environment of inquiry to ensure team members feel supported and engaged

Credentialing

  • Develops, implements, and oversees credentialing processes and procedures to ensure efficiency, accuracy, and compliance with healthcare industry standards and regulations
  • Monitors and tracks credentialing timelines to ensure timely completion and compliance with organizational and regulatory requirements
  • Serves as the primary point of contact for credentialing-related inquiries from staff, administration, and regulatory agencies
  • Participates as a subject matter expert in credentialing staff processes during entity regulatory agency visits, as appropriate, in conjunction with operations and HR partners
  • Stays current with all regulations, licensing standards, and job requirements related to credentialing and minimum qualifications
  • Conducts regular audits and quality assessments of credentialing processes to identify areas for continuous improvement and ensures compliance with regulatory standards
  • Implements corrective actions and training programs as needed to address deficiencies and enhance credentialing practices
  • Develops and delivers training programs for staff involved in credentialing processes to promote understanding of regulatory requirements, best practices, and system usage
  • Provides ongoing education and support to operational leaders and staff regarding credentialing standards, requirements, and expectations

General Compliance

  • Collaborates with partnering HR teams to ensure compliance with all EHC employment requirements, including annual regulatory training, flu vaccinations, etc.
  • Partners with HR Business Partners and other HR teams to help entities operate ready for any state or federal regulatory visits
  • Monitors HR practices and processes to identify areas of potential legal risk and implements corrective actions as necessary
  • Collaborates with legal counsel as needed to address compliance-related issues
  • Conducts regular audits of HR practices, records, and processes to ensure compliance
  • Monitors key metrics and indicators to identify trends or issues requiring attention

Provides direction to team for day-to-day activities to include:

  • Verifying professional licenses, certifications, and education credentials passed from talent acquisition onboarding team
  • Maintains accurate credentialing documentation
  • Updates and maintain credentialing software with current information
  • Monitors license and certification issues to include upcoming expirations, changes in status, missing/unverified information, sanctions, etc.
  • Communicates with employees to obtain missing or incomplete information
  • Communicates credentialing issues with operational leaders and HR leaders and partners to ensure employees with issues are not on schedules
  • Ensure compliance with all regulatory requirements and accreditation standards
  • Provides support with compliance requirements and initiatives