Envision Healthcare

CREDENTIALING SUPERVISOR

Job Locations US-FL-Fort Lauderdale
Company EVPS
Requisition ID
2023-32794
Category
All Positions

Overview

Remote Credentialing Supervisor - Envision Healthcare

 

Company Overview

Envision Healthcare is a leading national medical group focused on delivering high quality care to patients when and where they need it most. More than 30,000 clinicians and clinical support teammates call Envision home. We welcome teammates of every background and work in communities that reflect the racial, ethnic, gender, sexual orientation, and economic diversity of our country.

 

Through Envision Physician Services and AMSURG, our clinician-led organization is changing the face of healthcare by delivering high-quality care that puts the patient first.

 

Envision’s core values drive continual advancement and ingenuity across the enterprise:

  • Be Curious-embrace learning, seek out diversity of thought, listen openly, ask questions, and ask for feedback
  • Instill Trust-have the hard conversation, presume good intent, honor commitments, and do the right thing for patients and each other
  • Pursue Extraordinary-challenge the status quo, champion change, innovate and constantly aim higher
  • Care Deeply-serve patients, partners, communities, and each other with empathy, compassion, and respect
  • Embrace Teamwork-work cross-functionally, break down walls, develop others, be inclusive and unite to improve patient health
  • Inspire Joy-seek fulfillment and the joy of medicine, appreciate others, celebrate wins, and promote wellness and belonging

Benefits

We offer you an outstanding total compensation package, and a variety of health and welfare benefit options to help protect your health and promote your wellbeing. The benefits package includes: medical, dental and vision, life & disability, 401k, HSA, Flexible Spending and an Employee Assistance Program.

If you are looking for a stable, fast-paced, growing company in the healthcare industry that is committed to innovation, excellence and integrity, then this may be a great next step in the advancement of your career.

Responsibilities

We currently have an exciting opportunity available for an experienced Credentialing Supervisor.

The Credentialing Supervisor oversees the day-to-day operations of a team consisting of all elements of the Credentialing process. Assists in ensuring the coordination of initial and ongoing compliance with regulatory, state, federal and accreditation standards/requirements. Ensures that development and execution of Credentialing and other provider onboarding functions are in accordance with applicable department policies and procedures. Assists with the daily department operations including training, technical support, mentoring to assure that the credentialing process promotes quality care in an effective manner.  Works directly with Client Services, providers, and external clients to ensure satisfaction and timeliness. Generates performance measures. Sets goals, and monitors performance against goals.

 

  • Supervise the credentialing function and staff.
  • Oversee the day-to-day operations of the Credentialing department.
  • Develop reports on credentialing activities and recommend improvements to ensure goals are met.
  • Analyze, develop, implement, and monitor quality initiatives to achieve healthy outcomes for assigned projects.
  • Ensure the credentialing database remains current and accurate.
    Review and update credentialing program descriptions, policies, and procedures
  • Monitor critical credentialing activities/processes and update management of issues.
    Ensure compliance with company standards, NCQA or URAC, State and Federal policies and regulations.
  • Work closely with applicable networks to determine accuracy and appropriateness of the credentialing status.
  • Monitor and notify providers of upcoming expirables, including expiring privileges, licensures, board certifications, MOC requirements and all other state and national required documents necessary for the practitioner to perform under their scope of practice legally and ethically.
  • Maintain and update the credentialing database and medical staff services as provider information and credentials change or renew.
  • Maintain and update continuing medical education credits and other training requirements.
  • Responsible for the expirables process, comfortable creating or adhering to workflows in order to manage these processes.
  • Provide performance reports to key customers.
  • Handle escalated issues.
  • Lead/coordinate smaller projects and special assignments by planning and identifying opportunities for process improvement/efficiency.
  • Perform audit procedures, including reviewing transactions, documents, records, reports, policies and procedures for accuracy and effectiveness.
  • Oversee multiple departmental functions.
  • Ability to work with multiple departments.
  • Evaluate the adequacy and effectiveness of internal controls
  • Develop recommendations for corrective action/improvement
  • Prepare formal work product summarizing audit outcomes for departmental review on an ongoing and timely basis.
  • Track and trend performance of employees.
  • Report on irregularities violation of standards of practice compliance.
  • Plans and conducts performance appraisals and talent assessments of staff, recommends merits, bonuses and promotions, and administers corrective actions when necessary
  • Work independently.
  • Provider oversight relative to credentialing/re-credentialing for internal / external processes for all Envision Physician Services Affiliates, Managed Entities and Subsidiaries (to include primary source verification).

Qualifications

  • Ability to be flexible to change and growth.
  • Ability to work effectively in a fast paced, high volume environment.
  • Demonstrate ethical problem-solving skills.
  • Previous multi - entity system and supervisory experience preferred.
  • Bachelor's Degree and 4-6 years of related experience; or equivalent combination of education and experience. High School diploma or GED required.
  • Demonstrated, in-depth knowledge of credentialing
  • Good working knowledge of the Microsoft Office Suite
  • Credentialing Software Knowledge and experience (i.e. Vistar eVIPS, Cactus, EmWorks, etc)
  • Understanding of State, Federal, Regulatory Accreditation standards and policies and procedures
  • Ability to develop and manage audit controls
  • Manage both direct and indirect remote employees and ensure internal controls are followed
  • Highly analytical with the ability to demonstrate command of the details and to articulate those details at a higher level
  • Work well under pressure
  • Achievement-oriented with a positive, results-oriented style
  • Strong interpersonal skills with an ability to work effectively in a team environment
  • Very strong written and oral communication skills
  • Ability to effectively prioritize and execute tasks in a high-pressure environment
  • Experience working both independently and in a, team-oriented, collaborative environment
  • Demonstrated ability in leadership and/or managing others
  • Strong interpersonal, project management and mentoring skills.
  • Ability to make decisions in a rapidly growing, professional, service-oriented environment.

Optional, Not Preferred:

  • Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services Management (CPMSM)through National Association of Medical Staff Services required

If you are ready to join an exciting, progressive company and have a strong work ethic, join our team of experts! We offer a highly competitive salary and a comprehensive benefits package.

 

Envision Healthcare uses E-Verify to confirm the employment eligibility of all newly hired employees. To learn more about E-Verify, including your rights and responsibilities, please visit www.dhs.gov/E-Verify.

 

Envision Healthcare is an Equal Opportunity Employer.

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