Practice Association Credentialing Manager Towson, MD
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Job Location:
Towson, MD - USA
Monthly Salary:
Not Disclosed
Posted on:
14 hours ago
Vacancies:
1 Vacancy
Job Summary
The Credentialing Manager is responsible for overseeing the complete credentialing and privilege process for all clinicians across programs and locations. This role ensures accuracy regulatory compliance and efficient coordination between clinicians leadership and governing committees.
What to expect.
You will lead all credentialing operations maintain critical compliance systems and serve as the primary resource for clinicians and leadership regarding credentialing status. This position blends detailed administrative work process management system oversight and staff supervision in a fast-paced environment.
Specific responsibilities will include:
- Manage end-to-end credentialing and recredentialing processes ensuring compliance with Joint Commission State CARF NCQA and CMS requirements.
- Maintain and optimize the ECHO credentialing database; track and coordinate expiring licenses certifications and insurance documents.
- Prepare complete credentialing files for Credentialing Committee Medical Executive Committee and Board of Trustees review.
- Develop update and implement credentialing policies and procedures.
- Resolve credentialing and privileging issues and conduct routine audits for accuracy and compliance.
- Provide administrative and data support for Medical Staff operations and delegated managed care audits.
- Communicate credentialing status and updates to clinicians Program Directors Administrators and other stakeholders.
- Supervise train and evaluate credentialing staff.
What youll get from us:
At Sheppard Pratt you will work alongside a multi-disciplined team led by a bold vision to change lives. We offer:
- A commitment to professional development including a comprehensive tuition reimbursement program to support ongoing education and licensure and/or certification preparation
- Free clinical supervision to those working towards licensure
- Licensing and certification preparation assistance
- Comprehensive medical dental and vision benefits for benefit eligible positions
- 403b retirement match
- Generous paid-time-off for benefit eligible positions
- Complimentary Employee Assistance Program (EAP)
- Grand rounds CME opportunities and on-site lectures
- Cross-discipline collaboration
What we need from you:
- High school diploma with 2-3 years of administrative experience required; Bachelors degree and healthcare experience preferred.
- Knowledge of behavioral health credentialing processes; familiarity with TJC and NCQA requirements.
- Strong verbal/written communication skills and proficiency in Excel Word and credentialing systems (ECHO preferred).
- Strong organizational project-management and problem-solving skills.
- Ability to manage high-volume deadline-driven workflows.
The pay range for this position is $52499.20 minimum to $81078.40 maximum. Pay for this position is determined on a number of factors including but not limited to years and level of related experience.
WHY SHEPPARD PRATT
At Sheppard Pratt we are more than just a workplace. We are a community of healthcare professionals who are dedicated to providing hope and healing to individuals facing lifes challenges. Join us and be a part of a mission that changes lives!
Required Experience:
Manager
Key Skills
- Practice Management
- Veterinary Experience
- Enterprise Architecture
- Office Manager Experience
- Enterprise Software
- Healthcare Management
- IaaS
- TOGAF
- Medical office experience
- Conflict Management
- COBIT
- Customer relationship management
About Company
Sheppard Pratt offers inpatient, outpatient, home-based, school, and residential programs. Our programs and mental health services make healing a reality.
