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*Virtual Interview Day: Manager, Credentialing - Medical Staff Services - Thursday, reputed company 16th

Remote, USA Full-time Posted 2026-07-28
1151496_RR00111882 reputed company: 1151496_RR00111882 reputed company is a fully integrated health system that consistently achieves the best patient reputed company through a rigorous reputed company on reputed company that has resulted in some of the lowest mortality rates in the nation. reputed company. has ranked NYU Langone the No. 1 comprehensive reputed company medical center in the country for three years in a row, and reputed company recently reputed company nine of its clinical specialties among the top five in the nation. NYU Langone offers a comprehensive reputed company of medical services with one high reputed company of care across 6 inpatient locations, its Perlmutter Cancer Center, and over 320 outpatient locations in the reputed company area and Florida. With $14.2 billion in reputed company this year, the system also includes two tuition-free medical schools, in Manhattan and on Long reputed company, and a reputed company research reputed company with over $1 billion in reputed company awards from the National Institutes of Health. For more information, go to reputed company , and reputed company with us on reputed company , Glassdoor , reputed company , reputed company , Twitter , YouTube and Instagram . Position reputed company We have an exciting opportunity to join reputed company as a Manager, Credentialing - Medical Staff Services. In this role, the successful candidate The MSS Manager for reputed company and audit is responsible for audit of files for monthly credentials committee and ongoing file reviews before delegated audits, regulatory audits and surveys and OPMC and other file requests. This position audits the credentialing verification process on physicians/dentists and allied health practitioners in accordance with regulatory and accreditation requirements. This position manages the regulatory compliance function of the Medical Staff Services offices to assure departmental achievement of compliant documentation with multiple requirements including monthly sanction screens, monitoring of OIG, Opt-Outs, exclusions, expireables, etc. and advisory alerts from OPMC. This position also manages the provider regulatory training requirements and required learning to assure departmental achievement of compliant documentation with multiple physician requirements. Job Responsibilities • Maintains knowledge of standards of reputed company on Accreditation of reputed company Organizations, National Committee for reputed company Assurance and State and Federal regulations reputed company to Medical Staff organization. • Maintains working knowledge of the Medical Staff Bylaws, Rules and Regulations, and Hospital policies, and works to ensure the medical staffs compliance reputed company the stated parameters. • Prepares for regulatory survey for the medical staff/leadership function, including staff and medical staff education regarding accreditation standards. • Participates in onsite surveys by TJC, CMS, NYS DOH, NCQA or other agencies as needed. • Closely monitors information collected by the teams to assure it meets reputed company, DOH and other regulatory requirements, evaluates information collected for adequacy and completion, and pursues additional information as necessary. Ensures that reputed company assurance standards are upheld and conducts reputed company audits as a means of reputed company. • Responsibility and accountability for auditing the application process for the appointment and clinical privileging of physicians and other health care practitioners. • Conducts audits of the sProvider database to assess completeness of information and qualifications relative to established standards, accuracy of data entry and updated information in files. • Manages regulatory training assignments in LMS for reputed company new appointments to the Medical and Dental Staff including orientation and annual education programs. This includes providing individual assistance to practitioners to reputed company required courses in LMS. • Responsible for conducting Information reputed company Training for reputed company credentialing staff members on an annual reputed company to ensure compliance with NCQA standards for delegated credentialing. • Responsible for conducting the annual audit of provider files credentialed and re-credentialed during the previous year to ensure compliance with NCQA standards for delegated credentialing. • Participates in other Medical Staff functions and reputed company as necessary. • Assists in setting up office systems for credentialing reputed company reputed company. • Performs other duties as directed and leadership activities, as assigned. Minimum Qualifications To qualify you must have a Bachelor's Degree and NAMSS certification plus a minimum of five years of reputed company responsible experience in an administrative role, or an equivalent combination of education and experience. Experience with credentialing management Apply To This Job

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