Director, Credentials Verification Office (CVO)

Nemours Childrens Health is seeking an experienced Certified Director of the Credentials Verification Office (CVO) to manage the operations of Enterprise credentialing functions. The director is responsible for overseeing the operational function and daily activities of the CVO and ensures compliance with all relevant regulations and standards. This position provides best practice administrative management services for all aspects of the Department. The position serves as a liaisonbetween CVO Medical Staff Services practice leaders and other customers.

The ideal candidate must haveCertification from the National Association Medical Staff Services as a Certified Professional In Medical Staff Services Management (CPMSM) or a Certified Provider Credentials Specialist (CPCS)

The candidate must have a strong background in Medical Staff credentialing functions.

The CVO supports two Medical Staffs of approximately 2400 physicians nurse practitioners physician assistants and other practitioners at Nemours Childrens Health in Wilmington and Nemours Childrens Health in Florida.

Essential Job Functions:

Plans implements organizes and directs a comprehensive enterprise-wide credentialing verification program.

• Establishes influences and implements policies procedures and systems to accomplish the credentials verification and enrollment process.
• Directs all aspects of a credentialing verification system.
• Researches selects controls and maintains credentialing software.
• Leads a comprehensive and technologically driven verification process to ensure continuity accuracy completeness and timeliness.
• Protects the integrity and security of the database.
• Provides guidance on accreditation regulatory issues national standards and best practices.

• Plans and manages the operations of CVO.

• Hires trains evaluates and develops staff.
• Establishes and monitors shares departmental metrics and key performance indicators.
• Establishes reliable methods checklists and other work products to ensure consistency inperformance and compliance with regulatory and accrediting agencies.
• Creates and monitors a departmental budget.
• Promotes ongoing education.

• Promotes and directs the use of process improvement tools and thinking to create greater value.

• Collaborates with key stakeholders on managing an ongoing reporting process that is accurate and timely.
• Focuses on creating and aligning goals in support of the organizations Mission.

Serves as liaison between CVO Medical Staff Services practice leaders and other customers.

• Manages requests for customized reports and other information.
• Provides guidance on accreditation regulatory issues national standards and best practices.

Requirements:

• Bachelors Degree preferred In lieu of the educational requirements previous work history in credentialing and years of experience may be considered.

• Certification by the National Association Medical Staff Services as a Certified Professional In Medical Staff Services Management (CPMSM) or a Certified Provider Credentials Specialist (CPCS) is required

• MD Staff software experience is preferred.

• Experience in Hospital credentialing and privileging is required.

Experience:

• Certified Provider Credentialing Specialist(CPCS) or Certified Professional Medical Services Management (CPMSM) certifications required.
• A minimum of 10 years of experience in the Medical Staff Credentialing Services field with at least 5 years in leadership.

Skills

• Ability to maintain a high level of confidentiality.
• Ability to analyze and interpret complex data with the end goal of presenting and creating tactical plans. Organizes information and data to identify and explain trends problems and their causes.
• Ability to organize work and create priorities.
• Excellent communication skills both written and oral.
• Excellent interpersonal skills. Exhibits confidence and professional diplomacy while identifying organizing facilitating and sustaining mutually-beneficial partnerships and alliances with people at all levels of the organization.
• Ability to gain cooperation and support resolve differences and reach compromises with others.
• Working knowledge and expertise in MDStaff.
• Knowledge of Joint Commission NCQA CMS and other regulatory standards