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Credentialing Manager, San Antonio, TX

Job Details

Job Location

Vighter Corporate Office (HQs) - San Antonio, TX

Position Type

Full Time

Education Level

Bachelor's Degree

Travel Percentage

Up to 25%

Job Shift

Day

Job Category

Management

Description

Title: Credentialing Manager

Position Type: Full time (30-40+ hours/week), salary.

Education Level: Bachelor’s Degree

Job Category: Health Care

Our Company Promise:

We are committed to providing our Employees a stable work environment with equal opportunity for learning and personal growth. Vighter’s Mission is to provide efficient, fast, high quality healthcare staffing to our clients. Our Culture’s 5 key elements are crucial to the effectiveness of our employees in accomplishing our mission. These elements are:

+ Dependability

+ Integrity

+ Personability

+ Transparency

+ Responsiveness

Creating and cultivating this Culture within the organization is our commitment to our employees.

Above all, Vighter employees will be provided the same concern, respect, and caring attitude that they are expected to share externally with every Vighter Client and Customer.

Summary :

Vighter LLC is seeking a highly organized and detail-oriented Credentialing Manager to oversee the credentialing and privileging process for healthcare providers within our organization. The Credentialing Manager will be responsible for ensuring compliance with regulatory requirements, maintaining accurate credentialing records, and facilitating the timely credentialing of healthcare professionals. This role requires strong communication skills, attention to detail, and knowledge of credentialing standards and processes.

Principle Accountabilities:

+ Oversee the credentialing and privileging process for physicians, advanced practice providers, allied health professionals, and other healthcare staff.

+ Develop and maintain credentialing policies, procedures, and workflows to ensure consistency, efficiency, and compliance with accreditation standards.

+ Coordinate with internal departments, external agencies, and credentialing organizations to obtain verification of provider credentials, licenses, certifications, and other required documents.

+ Conduct regular audits and reviews of credentialing files and databases to ensure accuracy, completeness, and compliance with regulatory requirements.

+ Monitor changes in credentialing standards, regulations, and payer requirements, and update credentialing processes accordingly.

+ Prepare and submit reports on credentialing activities, performance metrics, and compliance status to management and regulatory agencies as required.

+ Serve as the primary point of contact for credentialing-related inquiries, issues, and requests from internal stakeholders, healthcare providers, and external organizations.

+ Collaborate with medical staff leaders, department managers, and human resources to address credentialing-related concerns, resolve disputes, and facilitate credentialing decisions.

+ Build and maintain positive relationships with credentialing agencies, licensing boards, and other external partners to streamline the credentialing process and expedite provider approvals.

+ Participate in interdisciplinary meetings and committees to coordinate scheduling efforts, resolve conflicts, and improve interdisciplinary communication and collaboration.

+ Other duties as assigned.

Knowledge and Skills :

+ Must have exceptional customer service skills.

+ Employees shall be technically proficient in the skills necessary to fulfill the job requirements, including ability to speak, understand, read and write English fluently.

Education :

+ Bachelor’s degree in Healthcare Administration, Business Administration or a related field.

Qualifications:

+ Minimum of 3 years of experience in healthcare credentialing, privileging, or provider enrollment, with demonstrated proficiency in credentialing standards and processes.

+ Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services Management (CPMSM) credential preferred.

+ Strong understanding of regulatory requirements, accreditation standards, and payer guidelines related to provider credentialing and enrollment.

+ Excellent organizational skills, with the ability to manage multiple priorities, meet deadlines, and maintain accurate records. Effective communication and interpersonal skills, with the ability to collaborate and convey complex information clearly.

Duty Hours / On-call Requirements:

+ The expected duty hours for this position are 8 hours per day and 5 days per week. However, this key position supporting 24/7/365 operations which may require work to be conducted in the day, at night, on weekends, and during holidays.

Work Environment:

+ Location: Vighter Corporate HQs, San Antonio, TX

+ Supportive team of healthcare professionals and administrative staff.

+ Opportunity to work with diverse populations, including immigration and asylum personnel and underserved communities.

Travel:

+ As required to satisfy the contractual obligations. Generally, travel is limited to commute from residence to the worksite. Commute is non-compensatory. All official travel is government-funded.

Benefits:

+ Competitive salary and comprehensive benefits package, with Medical, Dental, and Vision insurance available for W2 full time employees .

+ Company-paid basic Life and AD&D insurance and subsidized health insurance (W2).

+ Paid time off and holidays.

+ Professional development and promotion opportunities.

Physical Requirements :

+ Must be able to sit for more than 8 hours per day.

+ Must be willing to work overtime if necessary.

+ Must be able to use an elevator or walk up and down stairs.

+ Must be able to lift up to 40 pounds and carry up to 10 feet.

+ Must be able to routinely grasp or handle objects, use finger dexterity, bend elbows/knees and reach above and below shoulders.

+ Must be able to read and interpret handwritten and typewritten print.

+ Must be able to communicate by voice and detect sound by ear.

+ Must be able to perform duties in an indoor or outdoor environment

+ Must be able to pass a criminal background investigation

+ Must undergo Urine Drug Screening (UDS).

+ Positions require applicants to be US Citizens, 21 years or older.

Vighter LLC is an equal opportunity and affirmative action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law. Position is contingent upon contract award.

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Qualifications

+ Must be able to sit for more than 8 hours per day.

+ Must be willing to work overtime if necessary.

+ Must be able to use an elevator or walk up and down stairs.

+ Must be able to lift up to 40 pounds and carry up to 10 feet.

+ Must be able to routinely grasp or handle objects, use finger dexterity, bend elbows/knees and reach above and below shoulders.

+ Must be able to read and interpret handwritten and typewritten print.

+ Must be able to communicate by voice and detect sound by ear.

+ Must be able to perform duties in an indoor or outdoor environment

+ Must be able to pass a criminal background investigation

+ Must undergo Urine Drug Screening (UDS).

+ Positions require applicants to be US Citizens, 21 years or older.