Team Lead Credentialing Specialist

4 weeks ago


Livonia, Michigan, United States Trinity Health Full time
Job Summary

We are seeking a highly skilled Team Lead Credentialing Specialist to join our team at Trinity Health. As a key member of our credentialing operations team, you will be responsible for providing guidance and support to staff responsible for physician credentialing, ensuring alignment with established priorities and consistent completion of work assignments.

The ideal candidate will possess a comprehensive knowledge of credentialing and privileging, with a strong understanding of NCQA and TJC standards, hospital policies and procedures, and general licensing regulations. You will be responsible for performing a variety of credentialing tasks, including file audits, data entry, and verification of credentials.

As a Team Lead, you will also be responsible for providing education, training, and troubleshooting expertise on the various MSOW software modules. You will work closely with the Manager to ensure the successful completion of daily operations and will be responsible for identifying areas of risk and opportunities for creating efficiencies or improvements.

We are looking for a strong communicator with excellent teamwork skills, who is comfortable giving and receiving direction, counsel, and performance feedback. If you are a motivated and detail-oriented individual with a passion for working with teams, we encourage you to apply for this exciting opportunity.

Key Responsibilities:

  • Provide guidance and support to staff responsible for physician credentialing
  • Perform file audits and data entry
  • Verify credentials and ensure compliance with NCQA and TJC standards
  • Provide education, training, and troubleshooting expertise on MSOW software modules
  • Identify areas of risk and opportunities for creating efficiencies or improvements
  • Work closely with the Manager to ensure successful completion of daily operations

Requirements:

  • Comprehensive knowledge of credentialing and privileging
  • Strong understanding of NCQA and TJC standards, hospital policies and procedures, and general licensing regulations
  • Excellent communication and teamwork skills
  • Ability to work independently and prioritize multiple responsibilities
  • Strong analytical and problem-solving skills


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