Manager Credentialing (east Coast Resident / Eastern Standard Time)

Geisinger

Pennsylvania, United States of America
Fully remote
Ncqa, joint commission, doh, cms, dpw regulatory standards
Oversees reviews and analysis of physician applications
Works with legal services/risk management
Manages the entire Credentialing of providers for the Health System as it applies to NCQA, Joint Commission, DOH, CMS, DPW and other applicable regulatory standards to the credentialing and privileging processes within the system

Job Summary

  • Manages the entire Credentialing of providers for the Health System as it applies to NCQA, Joint Commission, DOH, CMS, DPW and other applicable regulatory standards to the credentialing and privileging processes within the system.
  • Works closely with Geisinger System Executive leadership, Service Line leadership, clinical directors, and Legal Services to develop strategic goals and processes for credentialing for the Health System.
  • We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners.

Matching Summary

Manages the entire Credentialing of providers for the Health System as it applies to NCQA, Joint Commission, DOH, CMS, DPW and other applicable regulatory standards to the credentialing and privileging processes within the system.

Skills & Requirements

Must-have

  • NCQA, Joint Commission, DOH, CMS, DPW regulatory standards
  • Oversees reviews and analysis of physician applications
  • Works with Legal Services/Risk Management
  • Oversight of DOH, Joint Commission and NCQA survey visits
  • Manages training and education of staff

Nice-to-have

  • Strive for excellence
  • Share knowledge
  • Seek new and better ways
  • Provide a safe environment
  • Encourage collaboration and collegiality

Key Requirements

  • Bachelor's Degree
  • Minimum of 5 years-Relevant experience
  • Minimum of 3 years-Managerial/Supervisory

Work Rights

Not specified

Tailored Resume

Cover Letter