Supervisor - Dental Provider Credentialing job at USAble Life in Jacksonville, FL

Supervisor-Dental Provider Credentialing - Remote

Job Category: Provider Network Management

Requisition Number: SUPER002200

Full-Time
Remote

Locations

Showing 1 location

Jacksonville, FL 32246, USA

Job Details

What We Offer You:

A culture that values employees and celebrates, empowers, and inspires a diverse workforce
Outstanding and affordable benefits package
PTO provided at date of hire
11 paid holidays
401(k) with up to 6% match; fully vested from day 1
Remote opportunities with company-provided equipment
Team-oriented, collaborative group of peers
Career advancement opportunities
Tuition Reimbursement
Employee Assistance Program
Inclusion Council and Employee Resource Groups
Recharge Days and Volunteer Time Off
This is a remote position.

Life Takes You Places! Are you ready to join us?

The starting base salary range for a Supervisor-Dental Provider Credentialing is $63,000 to $90,000. Actual salaries will vary by geographic location and are based on factors such as candidate’s qualifications, experience, skills, competencies, and company tenure & equity. In addition to base compensation, this role is eligible for a annual incentive plan based on company performance and individual performance.

Supervisor, Dental Provider Data Maintenance & Credentialing Overview

The Supervisor, Dental Provider Data Maintenance & Credentialing supervises the daily tasks of the Provider Data Maintenance & Credentialing Specialist I. This role works with outside vendors including but not limited to CVO, Dental Directors, Print and Mail Services.

Essential Duties

Monitors workflow within the team and with outside vendors such as the CVO and identifies opportunities for process improvements. Coaches and provides assistance and feedback to staff as needed
Researches, plans, and prepares departmental reports to ensure accuracy and efficiency of the team's data entry and adherence to NCQA protocols for credentialing and re-credentialing
Works directly with internal and external auditors and follows up on any recommended actions.
Works directly with Dental Director and Credentialing Committee attendees to ensure all files are reviewed, signed off on and any follow-up action completed
Facilitates all mailings associated with re-credentialing to ensure that NCQA guidelines relative to timeliness are being met
May perform other duties, including the daily functions of the credentialing team as assigned
Monitors and recommends adjustments to workflow processes and staff assignments
Prepares performance reviews, and administrative action documentation, and reviews with staff as necessary
Coordinates audit reviews as necessary and follows up on any action items
Manages reports to monitor efficiency and quality review
Prepares the monthly agenda for Credentialing Committee meeting
Makes all preparations for the Credentialing Committee Meeting and attends and creates meeting minutes
Drafts letters for all tabled cases and prepares check requests for the attendees' stipends

Required Knowledge, Skills, and Abilities

Knowledge of general credentialing processes
Knowledge of CVOs and NCQA Credentialing Guidelines
Advanced MS Office skills, particularly Excel
Excellent verbal and written communication skills including the ability to compose professional correspondence
Demonstrated leadership skills and the ability to assist and guide others
Ability to supervise staff using appropriate tools and techniques
Ability to maintain attention to detail and a low error rate
Ability to prioritize tasks and work within time constraints

Required Education and Experience

Bachelor’s Degree or related experience
3 to 5 years’ provider data maintenance & credentialing experience
Credentialing Delegation Oversight experience
Minimum 1 year of management experience
Or, equivalent military experience

Preferred Education and Experience

3 years as a Credentialing Specialist II
Certified Provider Credentialing Specialist (CPCS®)

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