Provider credentialing and contract administration
Ncqa, cms, and state requirements
Provider data file management
This position manages Provider Development functions and management of credentialing and contract administration of SelectHealth providers
Job Summary
This position manages Provider Development functions and management of credentialing and contract administration of SelectHealth providers.
Ensures department credentialing and contracting administration functions are in alignment with NCQA, CMS, and other state specific requirements.
We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.
Matching Summary
This position manages Provider Development functions and management of credentialing and contract administration of SelectHealth providers.
Salary
$44.33 - $68.42; Not specified; Not specified
Skills & Requirements
Must-have
Provider credentialing and contract administration
NCQA, CMS, and state requirements
Provider data file management
Department process, policy, and procedure oversight
Project management and coordination
Data analysis and reporting
Nice-to-have
Building strategic work relationships
Coaching and talent development
Facilitating change and problem solving
Process improvement initiatives
Key Requirements
Four years of progressive leadership experience
Intermediate proficiency in word processing and spreadsheet programs
Excellent written, verbal, and interpersonal communication skills
Excellent project, data analytics, time and workload management skills
Experience in process improvement
Understanding of JCAHO, NCQA and State and Federal credentialing standards