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  • Provider Enrollment and Quality Manager

    AdventHealth (Maitland, FL)



    Apply Now

    Our promise to you:

    Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that **together** we are even better.

    All the benefits and perks you need for you and your family:

    + Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance

    + Paid Time Off from Day One

    + 403-B Retirement Plan

    + 4 Weeks 100% Paid Parental Leave

    + Career Development

    + Whole Person Well-being Resources

    + Mental Health Resources and Support

    + Pet Benefits

    Schedule:

    Full time

    Shift:

    Day (United States of America)

    Address:

    1051 WINDERLEY PL

    City:

    MAITLAND

    State:

    Florida

    Postal Code:

    32751

    Job Description:

    + Other duties as assigned.

    + Manages access to credentialing databases and ensures data security. Liaises with credentialing bodies, responds to inquiries, and provides status updates.

    + Develops and implements credentialing processes and policies.

    + Verifies and maintains accurate records of healthcare professionals' qualifications, licenses, and certifications.

    + Monitors network performance, troubleshoots issues, and implements necessary upgrades.

    + Coordinates with IT staff, vendors, and stakeholders to facilitate seamless network operations.

    + Provides regular updates on network status and documents changes and procedures.

    + Ensures timely processing of credentialing applications and maintains accurate records.

    + Manages the operation, maintenance, and optimization of the network to ensure reliability, security, efficiency, and accuracy of data.

    + Demonstrated strong ability to supervise and train employees, to include organizing, prioritizing, and scheduling work assignments.

    + Demonstrated strong interpersonal and communication skills and the ability to work effectively with a wide range of constituencies in a diverse community.

    + Provides training on credentialing procedures and updates to staff.

    Knowledge, Skills, and Abilities:

    • Ability to make administrative/procedural decisions and judgments. [Required]

    • Ability to investigate and analyze information and draw conclusions. [Required]

    • Ability to develop and deliver presentations. [Required]

    • Ability to process computer data and to format and generate reports. [Required]

    • Ability to communicate effectively, both orally and in writing. [Required]

    • Ability to foster a cooperative work environment. [Required]

    • Skill in developing policy and procedure documentation. [Required]

    • Database management skills. [Required]

    • Employee development and performance management skills. [Required]

    • Knowledge of related accreditation and certification requirements. [Required]

    • Knowledge of medical credentialing and privileging procedures and standards. [Required]

    • Knowledge of medical staff policies, regulations, and bylaws and the legal environment within which they operate. [Required]

    • EPIC [Preferred]

    • Proficient in MD Staff [Required]

    • Proficient in MS Office (Excel, Word, Outlook) [Preferred]

    Education:

    • Bachelor's [Required]

    Field of Study:

    • in healthcare or related field

    Work Experience:

    • 10+ healthcare managerial experience. [Preferred]

    • 5+ healthcare managerial experience [Required]

    • 5+ of healthcare experience, preferably in managed care, provider credentialing, patient financial services, or provider relations [Required]

    Additional Information:

    • N/A

    Licenses and Certifications:

    • Certified Professional Medical Staff Management (CPMSM) [Preferred] OR

    • Certified Provider Credentialing Specialist (CPCS) [Preferred]

    **Physical Requirements:** _(Please click the link below to view work requirements)_

     

    Physical Requirements - https://tinyurl.com/23km2677

    Pay Range:

    $72,786.83 - $135,385.27

     

    _This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances._

     

    **Category:** Revenue Cycle & Managed Care

    **Organization:** AdventHealth Corporate

    **Schedule:** Full time

    **Shift:** Day

    **Req ID:** 150660948

     


    Apply Now



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