Supervisor, Credentialing

2 weeks ago


Clifton Park, United States CAPITAL DISTRICT PHYSICIANS HEALTH PLAN INC Full time

Grounded by a compelling mission, core values, and compassion for people, CDPHP and its family of companies offer a strong foundation for a rewarding career. Established in 1984, CDPHP is a physician-founded, member-focused, and community-based not-for-profit health plan that offers high-quality affordable health insurance to members throughout New York. The company values people, quality, innovation, and community, and its corporate culture supports those values wholeheartedly. CDPHP is committed to fostering a culture of belonging and takes a wholistic approach to diversity, equity, and inclusion. At CDPHP, the employees have a voice and are encouraged to make an impact at both the company and community levels through engagement and volunteer opportunities. CDPHP invests in employees who share these values and invites you to be a part of that experience.

CDPHP and its family of companies include subsidiaries Strategic Solutions Management Consultants (SSMC), Practice Support Services (PSS), and ConnectRx Services, LLC.

The Supervisor, Credentialing Strategic Solutions Management Consultants (SSMC) provides oversight for the Credentialing team, covering all business needs for Strategic Solutions clients. They will assist the team with day-to-day functions, questions, and problem solving, and are responsible for coordination of workflow and review of tasks. They are responsible for staff development and the overall success of the team. The Supervisor will also provide credentialing services for clients and support the Director of Administrative Services in reviewing reports, following up with staff, and addressing issues as they arise.

**QUALIFICATIONS**:

- High school diploma or GED required.
- Associate’s degree preferred.
- Minimum two (2) years of credentialing experience required; multi-specialty experience preferred.
- Minimum one (1) year supervisory, team lead or other senior level experience preferred.
- Advanced knowledge of medical office terminology and procedures, including billing and collections required.
- Experience with OneApp and/or Medent preferred.
- Experience with Microsoft Office, including Word, Excel and Outlook and is required.
- Demonstrated ability to lead, coach, train or supervise staff.
- Demonstrated ability to work collaboratively with multiple partners to positively affect outcomes at the team, organization, and client/patient level.
- Must be detail-oriented with strong organizational skills, including the ability to coordinate workflow.
- Demonstrated ability to pro-actively identify problems, as well as recommend and/or implement effective solutions.
- Demonstrated ability to provide excellent customer service and develop relationships both internally and externally.
- Demonstrated ability to work with and maintain confidential information.
- Excellent verbal and written communication skills.
- Flexibility to adapt to a changing and fast-paced environment.

CDPHP and its family of companies include subsidiaries Strategic Solutions Management Consultants (SSMC), Practice Support Services (PSS), and ConnectRx Services, LLC.


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