Director, Credentialing

3 weeks ago

alpharetta, United States Premier Anesthesia Full time

The purpose of the Director, Credentialing role is to oversee and manage the projects and day-to-day operations of the Credentialing team. The primary responsibility is to ensure that each interaction throughout the credentialing process, involving providers, client contacts, and internal customers, is engaging, efficient, and effective. The Director leads a team of direct reports, providing guidance and support to manage the activities, performance, and overall direction of the team. Additionally, the Director collaborates with PA’s leaders to plan, develop, and implement strategies and systems aimed at enhancing the overall efficiency of the credentialing function, contributing to the success of the organization.


ESSENTIAL JOB DUTIES & RESPONSIBILITIES:


  • Creates and maintains a high-quality work environment so team members are motivated to perform at their highest level.
  • Manages department's daily operations, including the development, analysis, and implementation of processes.
  • Leads the credentialing of Go-live contracts, developing and managing strategic relationships with hospital MSOs while communicating credentialing updates throughout.
  • Actively participates in credentialing process including status updates to assigned client(s) and serves as back up to team members if/as needed.
  • Assumes responsibility for the effective performance of all related credentialing functions.
  • Manages operational/performance metrics of credentialing team and oversees key metric reporting to company management.
  • Communicates with providers regarding relevant concerns and necessary documentation/logistics.
  • Creates, maintains, and distributes reports to update leadership on the team’s performance, tasks, and requirements.
  • Provides continual evaluation of processes and procedures and keeps the team updated on any changes.
  • Is available to Associates who experience challenges by providing appropriate coaching, direction, and resolution.
  • Responds to associate relations issues and use appropriate judgment in communication with senior leadership.
  • Works as a leader of special or ongoing projects that are important to foster improvement.
  • Establishes and maintains internal and external relationships as an effective, contributing team leader.
  • Demonstrates competency and confidence when delivering difficult conversations.
  • Conducts monthly 1:1s and Yearly Performance Reviews.
  • Assumes responsibility for establishing and maintaining strong business relationships with providers, clients, and internal customers.
  • Maintains confidentiality of information and meets all deadlines.


QUALIFICATIONS – EDUCATION, WORK EXPERIENCE, CERTIFICATIONS:


  • Bachelor’s degree preferred.
  • 5+ years of experience in a credentialing position or a similar occupation, demonstrating a deep understanding of credentialing processes, procedures, and best practices.
  • 3+ years of relevant experience in leadership, highlighting the ability to effectively lead and manage teams, drive performance, and provide strategic direction in a service coordinator or related environment.
  • Experience with credentialing software platform (e.g. MDStaff) and CRM (e.g. Salesforce) required; utilizes technology effectively to support service coordinator functions and tasks.


KNOWLEDGE, SKILLS, AND ABILITIES:


  • Knowledge of relevant regulations and quality standards applicable to service coordinator operations, ensuring compliance with regulatory requirements and adherence to quality benchmarks to maintain service excellence.
  • Ability to problem solve in an ever-changing environment, proactively identifying challenges and implementing effective solutions to optimize the efficiency and effectiveness of service coordinator operations.
  • Ability to work comfortably and calmly in a fast-paced, high-pressure environment, maintaining composure and effectiveness under stress to ensure smooth operations and successful outcomes.

  • Director, Credentialing

    3 weeks ago

    Alpharetta, United States Premier Anesthesia Full time

    The purpose of the Director, Credentialing role is to oversee and manage the projects and day-to-day operations of the Credentialing team. The primary responsibility is to ensure that each interaction throughout the credentialing process, involving providers, client contacts, and internal customers, is engaging, efficient, and effective. The Director leads a...

  • Director, Credentialing

    2 weeks ago

    Alpharetta, United States Premier Anesthesia Full time

    The purpose of the Director, Credentialing role is to oversee and manage the projects and day-to-day operations of the Credentialing team. The primary responsibility is to ensure that each interaction throughout the credentialing process, involving providers, client contacts, and internal customers, is engaging, efficient, and effective. The Director leads a...

  • Director, Credentialing

    17 hours ago

    Alpharetta, United States Premier Anesthesia Full time

    The purpose of the Director, Credentialing role is to oversee and manage the projects and day-to-day operations of the Credentialing team. The primary responsibility is to ensure that each interaction throughout the credentialing process, involving providers, client contacts, and internal customers, is engaging, efficient, and effective. The Director leads a...

  • Director, Credentialing

    3 days ago

    Alpharetta, GA, United States Premier Anesthesia Full time

    The purpose of the Director, Credentialing role is to oversee and manage the projects and day-to-day operations of the Credentialing team. The primary responsibility is to ensure that each interaction throughout the credentialing process, involving providers, client contacts, and internal customers, is engaging, efficient, and effective. The Director leads a...

  • Payer Relations Director

    3 weeks ago

    Alpharetta, Georgia, United States USOP, LLC Full time

    Job SummaryThe Director of Payer Relations at USOP, LLC is responsible for leading payer contract negotiations, analysis, and credentialing efforts. This experienced leader will manage the credentialing team, partner with analysts for contract sensitivity and variance analyses, and maintain and build payer relationships.Key ResponsibilitiesNegotiate payer...

  • Finance Director

    3 weeks ago

    Alpharetta, United States Korn Ferry Full time

    Director of Financial Planning and AnalysisThe Director of Financial Planning and Analysis will play a critical role in driving the financial success and long-term growth of the Company. This high-visibility cross-functional role will work closely with the Finance & Accounting teams and support the C-suite, business unit leaders, and functional leaders to...

  • Finance Director

    2 weeks ago

    Alpharetta, United States Korn Ferry Full time

    Job SummaryThe Director of Financial Planning and Analysis will play a critical role in driving the financial success and long-term growth of the Company. This high-visibility cross-functional role will work closely with the Finance & Accounting teams and support the C-suite, business unit leaders and functional leaders to drive financial performance and...

  • Director of Recruiting

    2 days ago

    alpharetta, United States Premier Anesthesia Full time

    The Recruiting Director is responsible for developing and implementing a comprehensive recruitment strategy to attract locums and full-time anesthesia providers while meeting Premier Anesthesia’s workforce needs. This leader is a working manager and involves leading a team of recruiters, collaborating with department leaders and hospital executives, and...

  • Director of Recruiting

    4 days ago

    Alpharetta, United States Premier Anesthesia Full time

    The Recruiting Director is responsible for developing and implementing a comprehensive recruitment strategy to attract locums and full-time anesthesia providers while meeting Premier Anesthesia’s workforce needs. This leader is a working manager and involves leading a team of recruiters, collaborating with department leaders and hospital executives, and...

  • Director of Recruiting

    17 hours ago

    Alpharetta, United States Premier Anesthesia Full time

    The Recruiting Director is responsible for developing and implementing a comprehensive recruitment strategy to attract locums and full-time anesthesia providers while meeting Premier Anesthesia’s workforce needs. This leader is a working manager and involves leading a team of recruiters, collaborating with department leaders and hospital executives, and...

  • Director of Recruiting

    3 days ago

    Alpharetta, GA, United States Premier Anesthesia Full time

    The Recruiting Director is responsible for developing and implementing a comprehensive recruitment strategy to attract locums and full-time anesthesia providers while meeting Premier Anesthesia’s workforce needs. This leader is a working manager and involves leading a team of recruiters, collaborating with department leaders and hospital executives, and...

  • Afterschool Counselor Floater

    3 weeks ago

    Alpharetta, United States YMCA Of Metro Atlanta Full time

    Job SummaryThe YMCA of Metro Atlanta is seeking a highly motivated and experienced Afterschool Counselor Floater to join our team. As a key member of our education and youth development team, you will be responsible for leading assigned groups in various planned activities to support the overall goals of the program.Under the direction of the Afterschool...

  • ABA Clinical Supervisor

    2 weeks ago

    Alpharetta, United States WonderWay ABA Services Full time

    Job DescriptionWe are seeking a dedicated BCBA/Clinical Supervisor to join our team at WonderWay ABA Services. This part-time position will be based in our clinic in Alpharetta, GA.Key Responsibilities:Assist with intake assessments and reports for new clients.Provide in-person and remote direct supervision to patients receiving ABA therapy.Oversee a...

  • Afterschool Counselor I

    2 weeks ago

    Alpharetta, United States YMCA of Metro Atlanta Full time

    Job SummaryThe YMCA of Metro Atlanta is seeking a qualified Afterschool Counselor I to lead a group of elementary age children in various planned activities that support the overall goals of the program. The ideal candidate will have prior experience working with school-age children in a group setting and possess excellent verbal and written communication...

  • Afterschool Counselor I

    3 weeks ago

    Alpharetta, United States YMCA Of Metro Atlanta Full time

    Job SummaryThe YMCA of Metro Atlanta is seeking a qualified Afterschool Counselor I to lead a group of elementary age children in various planned activities that support the overall goals of the program. The ideal candidate will have experience working with school-age children in a group setting and possess excellent verbal and written communication...

  • Veterinary Nursing Manager

    4 weeks ago

    Alpharetta, United States Veterinary Emergency Group Full time

    About Us:Veterinary Emergency Group (VEG) is a pioneering force in the veterinary emergency experience. Our mission is to provide exceptional care and support to people and their pets in times of need. We strive to revolutionize the way emergency veterinary care is delivered, focusing on a unique customer experience, highly trained staff, and cutting-edge...

  • Afterschool Counselor I

    5 months ago

    Alpharetta, United States YMCA of Metro Atlanta Full time

    As a thought-leader and best-in-class provider in education, wellness, youth development, and community-building, The YMCA of Metro Atlanta is one of the oldest and most essential non-profits serving in Atlanta. Today, we’re looking for you to join us as we carry out our mission to positively impact lives and communities across the state. At the Y,...

  • BCBA/ Clinical Supervisor- in clinic part time

    2 weeks ago

    Alpharetta, United States WonderWay ABA Services Full time

    Job DescriptionJob DescriptionBCBA/Clinical SupervisorJob Summary:WonderWay ABA is seeking dedicated individuals to join our team We're seeking the ideal candidate who hold their BCBA certification and has at least 2 years experience practicing as a BCBA.Key Responsibilities:We are a new center in the Atlanta area, so a key part of this role will be...

  • BCBA/Clinical Supervisor- In clinic Full time

    2 weeks ago

    Alpharetta, United States WonderWay ABA Services Full time

    Job DescriptionJob DescriptionBCBA/Clinical SupervisorJob Summary:WonderWay ABA is seeking dedicated individuals to join our team We're seeking the ideal candidate who hold their BCBA certification and has at least 2 years experience practicing as a BCBA.Key Responsibilities:We are a new center in the Milton area, so a key part of this role will be...

  • Lead Behavior Technician

    2 months ago

    Alpharetta, United States Butterfly Effects Full time

    Lead Behavior Technician - BACB Supervised Independent Field Work Opportunity Butterfly Effects' Mission is to make a socially meaningful change in the lives of children and families by hiring passionate, caring people to serve children and families affected by autism. We are looking for passionate Lead Behavior Technicians to teach young children affected...