Onboarding Credentialing Manager

Position Overview

The Onboarding Credentialing Manager is responsible for overseeing the day-to-day internal onboarding activities including leading, coordinating, monitoring, and maintaining the Onboarding and Reappointment process. Primary responsibilities include development of a training program for the Credentialing Coordinators, developing policies and procedures, finalizing Array credentialing process, and ensuring  Onboarding team activities are cost-effective and high-quality.

Job Responsibilities

• Oversee the day-to-day Onboarding activities including leading, coordinating, monitoring, and maintaining the internal credentialing process.
• Manage the Onboarding process for our OnDemand and Scheduled Care services lines.
• Develop policies and procedures associated with Onboarding, ensuring the Onboarding activities are cost-effective and high-quality.
• Run daily reports to assign inventory as necessary
• Ensures departmental guidelines are followed to support all Internal Credentialing policies and procedures including 35-day turnaround time.
• Tracks the credentialing and enrollment application process to promote compliance, process enhancement, and efficiency
• Acts as a level of escalation for any real or suspected violation of the corporate compliance program, company policies and procedures, harassment or other prohibited activities in accordance with the reporting policies of the company
• Makes leadership aware of any potential derogatory issues identified during the credentialing process and works in collaboration with practitioner to document/resolve the issue
• Conducts monthly reviews with staff members to review quality, production, attendance, and behavior status based on the KPI guidelines
• Performs annual reviews for direct reports to foster development
• Provides leadership team with weekly, monthly, quarterly, and annual reports identifying the process, concerns, and action plans for all applicants
• Develops policies and procedures related to the Initial Credentialing and Recredentialing flow in Onboarding
• Develops trending reports to identify areas of opportunity, areas of success, and to determine if any other process enhancements are needed
• Train/coach the Credentialing Coordinators to improve professional knowledge and skills, using current technologies and streamlined processes.
• Plan, evaluate, and improve the efficiency of business processes and procedures to enhance speed, quality, timeliness, efficiency, and output.
• Manage and monitor team member activity in support of the goals of the department including workflows, escalations, and communication protocols.
• Ensure compliance with recredentialing and expirable requirements
• Report, review and communicate performance data including activity reports, spreadsheets, and project management tools to monitor and measure departmental productivity, goal achievement and overall effectiveness.
• Manage the preparation and maintenance of reports necessary to carry out the functions of the department. Prepares periodic reports (KPI’s) for management, as necessary or requested, to track strategic goal accomplishment.

Job Requirements

• Knowledge of the functions, operation, and mission of the specific department including a minimum of 5 years of experience with provider licensure, credentialing and accreditation standards is a must.
• Knowledge and minimum of 2 years of experience in business, supervision, and management is a must.
• Strong knowledge base of Joint Commission and NCQA guidelines along with state licensing requirement standards.
• Self-starter and solutions orientation. Excellent written and spoken communication skills.
• Outstanding interpersonal relationship-building and employee coaching and development skills.
• Ability to prioritize, multitask, meet deadlines with accuracy and excellence.
• Comfortable working with a remote team.
• Excellent computer skills in a Microsoft Windows environment including intermediate or better Microsoft Excel skills.

Logistics

• Position Available
• Position based in Mt. Laurel, NJ- Work from Home
• Full-time employment
• Reports to VP of Medical Affairs
• FLSA Status: exempt, salary