Director of Credentialing and Verification Services
1 week ago
About the Role:
The System Director of Credentialing and Privileging is a critical position at Christus Health, responsible for ensuring that physicians, clinicians, and other providers are properly credentialed and privileged with health plans, hospital medical staffs, and other patient care facilities. This role requires a strong understanding of credentialing and privileging processes, as well as excellent communication and leadership skills.
Key Responsibilities:
- Develop and implement credentialing and privileging standards and policies
- Lead and manage the credentialing and privileging team
- Ensure compliance with regulatory requirements, including NCQA, The Joint Commission, and URAC
- Manage the credentialing and privileging software tool and ensure data accuracy and integrity
- Collaborate with other departments to ensure seamless credentialing and privileging processes
Requirements:
- Bachelor's Degree in a related field (or equivalent experience)
- Minimum 10 years of experience in credentialing and payer roster management
- Extensive knowledge and experience in hospital medical staff and managed care credentialing
- Minimum 5 years of experience in management or direct supervision of staff
- Expertise in MD Staff credentialing software
Preferred Qualifications:
- CPCS – NAMSS (Certified Provider Credentialing Specialist from National Association of Medical Staff Services)
- CPMSM – NAMMS (Certified Professional Services Management from the National Association of Medical Staff Services)
What We Offer:
Christus Health is a faith-based, not-for-profit health system committed to delivering compassionate, high-quality care to our patients. We offer a competitive salary and benefits package, as well as opportunities for professional growth and development.
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