Healthcare Credentialing Manager

1 day ago

Gainesville, Florida, United States UF Health Full time
Credentialing and Provider Enrollment Expert

UF Health seeks a skilled Credentialing and Provider Enrollment Specialist to manage the credentialing and provider enrollment function for Shands HealthCare. The successful candidate will ensure that all Medical Staff and Allied Health Professional staff providing medical care or treatment of patients throughout the Shands HealthCare System are continually credentialed in accordance with all statutory and accreditation requirements.

Key Responsibilities:
  • Prepare committee meeting agendas, packets, and minutes.
  • Directly manage credentialing analysts in the department to ensure timely credentialing and compliance with regulatory requirements.
  • Serve as a liaison to clinical and administrative departments for all credentialing matters, including audits and regulatory surveys.

Requirements:
  • Masters degree in Health Administration, Business Administration, Public Health, or Information Technology, or Bachelors degree with two years relevant work experience, preferably in healthcare organizations.
  • Management experience preferred.
  • Excellent verbal and written communication skills, organizational skills, and ability to handle multiple priorities and direct the work of other credentialing staff.
  • Experience in computer applications, including Microsoft applications and credentialing databases.
  • Preferred knowledge in National Committee for Quality Assurance (NCQA) and The Joint Commission (TJC) Standards, as well as federal, state, and managed care enrollment requirements.

Motor Vehicle Operator Designation:

Employees in this position:
Will operate vehicles for an assigned business purpose as a "non-frequent driver"

NOTE:
A frequent driver is defined as one who uses his/her personal or Shands automobile a) at least once daily, b) at least five individual trips per week or c) drives, on average, over 150 miles per week in the performance of his/her job.

Please indicate the appropriate operator designation on the Request for Personnel (RFP) form at the time a RFP is submitted to post the position.


Licensure/Certification/Registration:
Certification as Certified Professional Medical Staff Management and/or Certified Provider Credentialing Specialist preferred.

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