Credentialing Senior Manager

3 days ago


San Antonio, Texas, United States University Health System- San Antonio Full time

**Job Summary**

University Health System- San Antonio seeks a highly skilled and experienced Credentialing Senior Manager to oversee the credentialing and recredentialing program of practitioners and providers. The ideal candidate will have a strong background in healthcare management and a proven track record of implementing and maintaining regulatory and accreditation standards.

**Key Responsibilities**

  • Implement and oversee the credentialing and recredentialing program, ensuring compliance with regulatory and accreditation standards.
  • Monitor and implement policy and procedural changes as necessary to maintain compliance.
  • Collaborate with health plans to review and coordinate contractual requirements for the verification process.
  • Coordinate research and reports from the credentialing committee and licensing and monitoring organizations.
  • Work with the Chief Medical Officer to administer the credentialing committee and committee actions.

**Requirements**

  • An associate degree in a healthcare-related or business management field, or five years of equivalent experience in a managed care setting.
  • Excellent written and oral communication, problem-solving, organizational skills, statistical, and analytical abilities.
  • Knowledge of accreditation credentialing standards (such as NCQA), federal, state, and regulatory agency requirements.
  • At least five years of supervisory experience in a managed care setting with exposure to multiple product lines and communication with regulatory agencies.
  • NAMSS Certification as a Certified Provider Credentials Specialist (CPCS) is preferred.

**What We Offer**

University Health System- San Antonio offers a competitive salary and benefits package, as well as opportunities for professional growth and development.



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