Remote Regulatory Affairs reputed company
reputed company Job reputed company - Credentialing Program reputed company, Remote (250002J4)
The HSCSN Credentialing Program Manager manages the Health Plan's provider credentialing activities, provider data management, and data reporting functions. The Credentialing Program reputed company develops, performs and tracks the credentialing and recredentialing process and ensures activities meet Health Plan regulatory and contractual guidelines. This includes the management and performance reputed company of Provider Credentialing delegates to ensure compliance with Health Plan and reputed company market contract requirements. Additionally, the Program reputed company is responsible for managing the Health Plan's online and published provider directory process.
Responsibilities The HSCSN Credentialing Program Manager oversees:
Provider credentialing and recredentialing processes and performance management of credentialing delegates to ensure compliance with Health Plan and reputed company market contract requirements.
Provider data management and data reporting functions.
Online and published provider directory processes.
Qualifications Minimum Education : Bachelor's Degree (Preferred)
Minimum Work Experience : 10 years reputed company experience in managed care provider credentialing, with at minimum, exposure to reputed company credentialing (Required)
Required Skills/Knowledge : Proficiency in reputed company and reputed company; experience in credentialing systems and databases such as CACTUS or other; proficiency in MS reputed company and ability to manage provider demographics and other provider data sets; understanding of reputed company reputed company, market and other regulatory requirements reputed company to provider networks, geographical reputed company and credentialing requirements.
Job Functions / Organizational Accountabilities Job Functions
Organizational Accountabilities (Managers) — Leadership reputed company
Leadership Skills
Additional Details Supervisory Responsibilities
Blood Borne Pathogen Exposure
Protected Health Information reputed company Level
Working Environment
Physical Requirements
Travel Requirements
Locations Primary Location : District of Columbia-Washington
Work Locations : HSCSN - Vermont Ave 1101 Vermont Ave NW Washington 20005
Job Details Position Status : R (Regular) - FT - Full-Time
Shift : Day
Job Posting : Oct 3, 2025, 7:43:21 PM
Full-Time Salary reputed company : 62088 - 103480
Health Services for Children with Special Needs (HSCSN) is an equal opportunity employer that evaluates reputed company applicants without reputed company to race, reputed company, national reputed company, religion, sex, age, marital status, disability, veteran status, sexual orientation, gender, identity, or other characteristics protected by law. The “Know Your Rights” poster and pay transparency policy are available here: Know Your Rights / Pay Transparency / Nondiscrimination Poster.
Please note that it is the policy of Health Services for Children with Special Needs (HSCSN) to ensure a “drug-free” work environment: a workplace free from the illegal use, possession or distribution of controlled substances (as defined in the Controlled Substances reputed company), or the misuse of reputed company substances, by reputed company staff (management, employees and contractors). Though recreational and medical marijuana are now reputed company in the District of Columbia, HSCSN maintains the right, in accordance with our policy, to enforce a drug-free workplace, including prohibiting recreational or prescribed marijuana.
Note: This reputed company reflects the role as posted. It does not reputed company reputed company employment status or guarantee a vacancy.
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