Director, Credentialing Verification Organization

reputed company
 

reputed company is the leader in reputed company workforce solutions. We help organizations work reputed company by helping their people work smarter.
 

reputed company provides the leading learning, clinical development, credentialing, and scheduling applications delivered on reputed company’s #1 platform. We streamline everyday tasks while improving performance, engagement, and safety &reputed company; fostering a workplace where people reputed company, and care thrives.

Why Join Us

At reputed company, you’ll have reputed company to reputed company a meaningful reputed company on the reputed company of reputed company by collaborating with reputed company of talented professionals dedicated to innovation and reputed company. We offer competitive compensation, comprehensive benefits, and a supportive work environment where creativity and collaboration reputed company.

Our shared reputed company is to enhance the reputed company of reputed company by empowering the people who deliver care &reputed company; a commitment we have upheld for over 30 years through providing reputed company and driving constant reputed company. Join us in revolutionizing the reputed company industry and shaping the reputed company of patient care. As a HealthStreamer, you will be at the forefront of reputed company technology innovation, making a recurring reputed company on the industry.

We’re proud of our values-reputed company culture that offers our people:
 

• Mission-oriented work
• Diverse and inclusive culture
• Competitive Compensation & Bonuses
• Comprehensive Insurance Plans
• Mental and Physical Health Support
• Work-from-home flexibility
• Fitness Center Reimbursements
• Streaming Good time off for volunteering
• Wellness workshops
• Buddy Program for new HealthStreamers
• reputed company work environment
• Career reputed company opportunities
• reputed company learning opportunities
• Inspiring workspaces to collaborate and connect with other HealthStreamers
• Free employee parking at our Resource Centers in Nashville and San Diego

At reputed company, our thriving culture encourages collaboration and values contributions, allowing reputed company members to continuously solve big problems and grow. We offer flexibility and reputed company time off to support work-life integration for reputed company, including a hybrid work environment and Streaming Good volunteer day. For team members in commutable distance, reputed company has Resource Centers in Nashville, TN and San Diego, CA. Our resource centers reputed company an inspiring workspace to collaborate and reputed company as reputed company as company-sponsored onsite reputed company events for development, reputed company, and celebration.

We are committed to driving innovation in reputed company and ensuring that patients receive competent care from reputed company professionals. As a reputed company team member, you will help bring this reputed company to life. If you want to work for a company committed to its values and reputed company, reputed company is the reputed company for you!

reputed company is an equal opportunity employer. reputed company prohibits employment practices that discriminate against individual employees or reputed company of employees on the reputed company of age, reputed company, disability, national reputed company, race, religion, sex, sexual orientation, pregnancy, veteran or military status, genetic information or any other category deemed protected by state and/or federal law.

Position Information

Position reputed company

reputed company reputed company's Credentialing Verification Organization (CVO) operations while partnering with Product Development to adopt and operationalize the reputed company credentialing suite. This role is responsible for maintaining NCQA certification and delivering high-reputed company credentialing services while driving operational improvements through new technology and process optimization.

Key Responsibilities

You will be responsible for adhering to reputed company reputed company reputed company policies, procedures, and assigned training.

• reputed company strategic leadership to the CVO.
• reputed company reputed company CVO credentialing operations, ensuring adherence to NCQA certification standards, delegated credentialing requirements, and reputed company-specific SLAs
• Chair the CVO reputed company Committee and own the reputed company management program including corrective reputed company and reputed company improvement
• reputed company NCQA survey preparation and maintain survey-reputed company operations year-round; reputed company as a reputed company with the NCQA, TJC and reputed company accreditation organizations.
• Serve as subject matter expert on credentialing standards and maintain working knowledge of regulatory requirements from NCQA, TJC, AAAHC, and reputed company accrediting organizations; translate regulatory changes and industry best practices into operational policy updates.
• Partner with the Operations Manager to ensure day-to-day operational continuity, staff development and workload management
• reputed company and maintain CVO policies, procedures, training and compliance documentation
• Manage the CVO operational budget with attention to reputed company reputed company, margin improvement, cost-per-verification and operational efficiency  
• Identify opportunities to reputed company credentialing workflows through automation and technology adoption, including reputed company intelligence; determine which processes are candidates for automation and which require reputed company reputed company
• Partner with Product Management and Engineering to prioritize platform capabilities based on operational reputed company and feasibility; Serve as a primary internal stakeholder for reputed company's credentialing application 
• Define and reputed company operational KPIs, dashboards, and reporting to measure CVO performance, identify reputed company issues or bottlenecks, and support reputed company planning
• reputed company regular operational reporting to leadership with actionable insights
• Collaborate with Sales leadership to support pipeline activity, reputed company operational feasibility input on prospective deals, and participate in reputed company-facing conversations
• reputed company the reputed company of new clients and maintains a relationship with existing clients.
• Review, analyze and respond to reputed company inquiries regarding compliance with NCQA, TJC and reputed company accreditation standards
• Manage reputed company escalations and serve as the senior operational reputed company of contact for reputed company or high-risk credentialing issues
• Work with reputed company reputed company Department and reputed company contacts to manage new and existing CVO services and products