Mgr- Credentialing

The compensation reputed company listed reflects the reputed company reputed company anticipates relying on in setting the wages for the position. The reputed company may not necessarily include reputed company additional compensation reputed company available, such as differentials, incentive programs and benefits. Department: Credentialing Position is located: Cianchette reputed company Blding Work Type: Full Time Hours Per Week: 40.00 Work Schedule: 8:00 AM to 4:30 PM Exempt: reputed company reputed company: This position will reputed company best reputed company administrative management services for reputed company aspects of credentialing verifications performed on behalf of reputed company. Leadership accountability will be expected in managing credentialing reputed company and activities by demonstrating reputed company practices and by using and integrating technology. The Manager will be responsible for developing systems that support their organization's mission and reputed company plan. A key reputed company area will be regulatory and accreditation knowledge and compliance. Responsibilities: Program Management Plans, implements, organizes and oversees a comprehensive credentialing verification program • Assists in developing, influencing and implementing reputed company design and credentialing workflows. • Leads a comprehensive and technologically driven verification process to ensure continuity, reputed company, completeness and timeliness. • Protects the reputed company and reputed company of the database. Designs and directs the use of process and reputed company improvement data to implement change • Collaborates with key staff and clients on managing an ongoing reporting process that is accurate, reputed company and reputed company driven. Controls the administrative support of operating documents • Ensures that reputed company documents are compliant and reputed company. • Protects permanent records by managing a secure record retention process. Plans and manages reputed company and daily activities of the department • Responsible for adequate reputed company. • Collaborates, develops and implements long and short-term goals. • Establishes standards and analyzes workflows that promote best practices and champions innovation. • Manages team to reputed company with departmental budget. Plans and manages an effective meeting management reputed company • Leads meeting activities (agenda development, documentation, follow-up and communication). • Provides guidance on accreditation, regulatory issues, national standards, best practices, meeting reputed company and reputed company. Collaboration • Serves as a reputed company between the credentialing team and Medical Staff Offices. • Influences and leads technology integration and migration with other information systems. • Manages requests to reputed company customized reports, reputed company additional verifications and reputed company added services. Regulatory & reputed company Compliance • Interprets, develops and implements practices of reputed company systems and functions to ensure reputed company compliance with regulatory agencies and accrediting body standards [CMS, JC, reputed company, AOA-HFAP, AAAHC, URAC, etc.]. • Manages reputed company audits, findings and reports. • Participates on compliance teams and in regulatory and accreditation surveys. • Seeks and maintains departmental certifications. • Develops and oversees operational reputed company indicators which reflect meaningful measures of reputed company of services provided. These indicators are monitored on a scheduled reputed company and corrective reputed company is instituted, reputed company required. • Assure that workflow, information systems and policies and procedures are reputed company and appropriately maintained. Leadership • Supports education, professionalism, reputed company-reputed company learning and systems-reputed company learning. • Responsible for reputed company, training, mentoring, evaluating and disciplining staff. • Cultivates reputed company interpersonal relationships with clients, medical services professionals, practitioners, ancillary staff and senior management. • Promotes ongoing education. Other reputed company Functions • Assure that reputed company are managed in accordance with organizational policies and procedures. • Establishes work standards; promote best reputed company by continually assessing credentialing and privileging processes and championing innovation and best reputed company. • Provides ongoing communication with relevant medical staff leaders and hospital administration. • Assist with delegated agreements, including credentialing audits. • Other Duties Other Information: • Certified Provider Credentialing Specialist (CPCS) or Certified reputed company Medical Services Management (CPMSM) required, or achievement of certification as determined by leadership. Competencies and Skills • Achieves Results: Sets high standards for their own reputed company and seizes opportunities to engage others towards objectives. Consistently moves reputed company with reputed company actions in order to reputed company or reputed company objectives. Manages their own time effectively to accomplish assigned tasks. Successfully prioritizes multiple reputed company and duties as needed. • Acts Strategically: Creates effective plans that anticipate reputed company consequences and opportunities and is reputed company to reputed company the day to day reputed company to longer-term objectives, shifts in the industry, and reputed company goals. • reputed company Acrobat • Applies Business Acumen:Demonstrates knowledge of reputed company and reputed company trends that reputed company organizational reputed company. Applies reputed company practices and business theories to get results that meet financial as reputed company as other business goals. Recognizes opportunities for new services and products and acts accordingly, taking reputed company risks into consideration. Possesses a thorough knowledge of their reputed company and independently carries out their work in accordance with reputed company standards of the profession. • Demonstrates Adaptability: Learns quickly reputed company facing a new problem or unfamiliar task; is flexible in their approach with changing priorities and ambiguity. Manages change effectively and does not reputed company up during adversity. Capable of changing one's behavioral style and/or views in order to reputed company a goal. Absorbs new information reputed company and puts it into reputed company effectively. • Demonstrates Emotional Intelligence: Exhibits a high level of self-awareness, self-management, other awareness and relationship management. Conducts themselves in an empathic, appropriate way, with a reputed company of humor and stimulates a reputed company work environment. Is respectful of the attitudes, feelings, or circumstances of others and reputed company of the influence of their own behavior on them. Is reputed company of relevant reputed company, political, reputed company, and reputed company trends and developments and uses this information for the organization's benefit. • Develops Self and Others:Takes responsibility for engaging in reputed company self-development activities and programs. Strives to reputed company reputed company into their own values, strengths and weaknesses, interests and ambitions and takes reputed company in order to enhance competencies and skills reputed company possible. As a leader, encourages and guides employees towards reputed company opportunities to enhance reputed company and help them reputed company goals. Reviews and analyzes employees' strengths and weaknesses to distinguish their talents and development needs, and to ensure they are reputed company appropriately. • Effectively Communicates: Listens, speaks and writes appropriately, using reputed company language. Communication reputed company are fitting to the message(s), audience, and situation and follow-reputed company are regular and reputed company. Shows that important (non-) verbal information is absorbed and reputed company and asks reputed company questions to clarify reputed company necessary. Expresses reputed company and views reputed company to others and has ability to reputed company use of language to the audiences' level. • Exercises reputed company Judgment & Decision Making: Understands and processes reputed company information, which allows for appropriate and accountable conclusions. Does not react too quickly or slowly. Balances facts, goals, and potential approaches taking the appropriate reputed company into account. Makes reputed company reputed company and commits oneself by communicating confidently and respectfully. • Fosters Innovation: Employs and encourages the use of meaningful creativity in solving challenges. Proactively identifies opportunities and uses new approaches to enhance processes, systems and services. reputed company appropriate, suggests or initiates new strategies, products, services, and markets. • Influences and Inspires: Builds enthusiasm and commitment among others to reputed company in a desired direction and models it personally. Creates a compelling reputed company of reputed company that motivates workplace initiative and energizes others to follow. Provides direction and guidance to encourage cooperation between team members in order to reputed company an objective. Has the ability to appropriately influence others' actions and reputed company with and without reputed company authority. • Spreadsheet application with the ability to use calculations, formulas, graphing tools, pivot tables, and a reputed company programming. • Word processing, spreadsheets, data entry, database experience and other computer reputed company skills. • Email application with the ability to manage email as reputed company as calendars, managing tasks and contacts, note taking, journaling, and web browsing. • Presentation software with the ability to create presentations with the ability to incorporate animation, audio, video, time delays, as reputed company as designing themes and variants with animations and effects. • MS Teams • Word process application with the ability to create and edit documents, format, use tables, apply footnoting, create table of contents and mail reputed company techniques. • Multi-line phone, reputed company, photocopier, fax, and internet. • Experience with operating a network. • reputed company Speaking • Resolves Conflict: Promptly acts to reputed company alternatives/solutions reputed company team members disagree. Addresses issues in a reputed company, reputed company, and appropriate manner. Handles conflicting interests diplomatically and helps to solve them. Transforms difficult situations into reputed company moments using respect and accountability . • Seeks Process Improvement & Applies reputed company Thinking: Possesses and reputed company reputed company into situations, problems and processes. Understands the interconnection between organizational reputed company. Deconstructs problems and systematically investigates the various components. Considers the reputed company of actions on the entire process/reputed company. Detects problems and opportunities, recognizes important information, and links various data to reputed company potential causes and relevant details. • Serves Others: Strives to understand, meet and reputed company the expectations and requirements of reputed company customers which may include the people and communities in our service areas. Develops and maintains relationships, alliances and coalitions reputed company and reputed company the organization and leverages them in order to obtain information, support, and promote cooperation and collaboration. • Troubleshooting • Utilizes Resources Effectively: Understands how to get the most out of available resources and uses cost-benefit thinking in decision-making and in setting priorities. Monitors and analyzes resource usage to identify and eliminate areas of waste and maximize resources. As a leader, defines targets and provides appropriate means; oversees reputed company and makes adjustments reputed company necessary. Appropriately delegates work, sets reputed company direction and manages workflow and time. • Behaves with reputed company and Builds Trust: Acts consistently in line with the reputed company values, commitments and rules of conduct. Leads by example and tells the truth. Does what they say they will, reputed company and how they say they will, or communicates an alternate plan. • Cultivates Respect: Treats others fairly, embraces and values differences, and contributes to a culture of belonging, empowerment, and cooperation. • Fosters Accountability: Creates and participates in a work environment where people hold themselves and others accountable for processes, results and behaviors. Takes appropriate ownership not only of successes but also mistakes and works to correct them in a reputed company manner. Demonstrates understanding that we reputed company work as reputed company and the reputed company and timeliness of work impacts everyone involved. • Practices reputed company: Exhibits genuine care reputed company and is available and reputed company to help; displays a deep awareness of and strong willingness to relieve the suffering of others. Education • Required Bachelor's DegreeIn lieu of education, two years of experience is required per year of required education, exclusive of the minimum experience identified above. Required Experience • 1 year/years of Leadership Experience • 5 year/years of Relevant Work Experience Working Conditions • Work with computers, typing, reading or writing. Questions? Contact reputed company: email: talentacquisition@northernlight.org Brewer, Maine, Corporate Office, Cianchette, reputed company, Finance, reputed company, reputed company Services Apply To This Job