Provider Operations Lead
3 weeks ago
DigitalOptometrics is a rapidly expanding optometric-telemedicine company offering comprehensive remote eye examinations in most US states and Canadian Provinces. We are looking for a skilled Provider Operations Lead to manage data and credentialing for Optometrists with various insurance carriers. The ideal candidate will have 7+ years of credentialing experience, 4+ years of leadership experience, and a Bachelor's degree or equivalent experience. The salary range for this position is $80,000 - $110,000 per year, based on experience.
About the Position:
This role involves leading the Networking & Credentialing Team to ensure efficient credentialing operations. Key responsibilities include developing and implementing internal policy & procedures for credentialing and networking, collaborating with multiple departments for doctor onboarding, credentialing, and sustainment, and maintaining Certificates of Liability Insurance process. Additionally, the successful candidate will work with insurance companies at national and state levels during credentialing and manage provider and document management within QGenda.
Key Responsibilities:
- Lead the Networking & Credentialing Team to ensure smooth credentialing processes.
- Develop and implement internal policy & procedures for credentialing and networking.
- Collaborate with multiple departments for doctor onboarding, credentialing, and sustainment.
- Work with insurance companies at national and state levels during credentialing.
- Manage provider and document management within QGenda.
- Maintain Certificates of Liability Insurance process.
Requirements:
- 7+ years of credentialing experience (Medicare, Medicaid, commercial carriers).
- 4+ years of leadership experience.
- Bachelor's degree or equivalent experience.
- Experience working in multi-state credentialing organizations.
- Reliable internet connection for remote employment.
Salary Range:
$80,000 - $110,000 per year, based on experience.
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