Medical Staff Credentialing Manager jobs in Gainesville, FL

Medical Staff Credentialing Manager manages staff that process credentialing and recredentialing applications for health care providers. Oversees department operations to ensure compliance with all regulatory standards. Being a Medical Staff Credentialing Manager implements policies and procedures to ensure that applications are properly verified and accurately uploaded into an online credentialing database system. Analyzes reports on applications and credentialing status to identify trends and improve the credentialing process. Additionally, Medical Staff Credentialing Manager prepares files for the credentialing committee and may act as a liaison to state medical licensure boards regarding the status of license applications. Requires a bachelor's degree. May require Certified Provider Credentialing Specialist (CPCS). Typically reports to a director. The Medical Staff Credentialing Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. To be a Medical Staff Credentialing Manager typically requires 5 years experience in the related area as an individual contributor. 1 - 3 years supervisory experience may be required. Extensive knowledge of the function and department processes. (Copyright 2024 Salary.com)

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Manager Medical Staff Admin | Medical Staff Administration
  • UF Health
  • Gainesville, FL FULL_TIME
  • Job Opening Summary

    Manages the credentialing and provider enrollment function for Shands HealthCare to ensure that all medical staff and allied health professional staff providing medical care or treatment of patients throughout the Shands HealthCare System are continually credentialed in accordance with all statutory and accreditation requirements and appropriately enrolled with federal, state and managed care payers. Prepares committee meeting agendas, packets and minutes. Directly manages the credentialing analysts in the department to ensure timely credentialing and that all regulatory requirements are met. Serves as a liaison to clinical and administrative departments for all credentialing matters, including audits and regulatory surveys.
     

    Job Opening Qualifications

    Minimum Education and Experience Requirements:
    • Master's degree in health administration, business administration, public health or information technology, or bachelor's degree required and two years of relevant work experience, preferably in healthcare organizations.
    • Management experience preferred.
    • Must possess excellent verbal and written communication skills, organizational skills and an ability to handle multiple priorities and direct the work of other credentialing staff.
    • Experience with computer applications, including Microsoft applications and credentialing databases.
    • Preferred knowledge in National Committee for Quality Assurance (NCQA) and The Joint Commission (TJC) standards, as well as federal, state and managed care enrollment requirements.

    Motor Vehicle Operator Designation:
    Employees in this position will operate vehicles for an assigned business purpose as a "non-frequent driver."

    NOTE: A frequent driver is defined as one who uses his/her personal or Shands automobile a) at least once daily, b) at least five individual trips per week or c) drives, on average, over 150 miles per week in the performance of his/her job.

    Licensure/Certification/Registration:
    • Certification as Certified Professional Medical Staff Management and/or Certified Provider Credentialing Specialist preferred.


    Minimum Pay Rate - Hourly: $29.03
    Midpoint Pay Rate - Hourly: $39.79

     

    Internal Applicants - Apply Here

    We invite you to join our team! Our work and passion for excellence are intended to have an impact beyond the communities in which we serve. You may apply for a maximum of 10 positions at any given time. For general application process topics please review our Frequently Asked Questions. For technical assistance please contact Human Resources at 352-265-0441.


    UF Health Shands Hospital is committed to diversity as a competitive advantage in attracting top talent from across the nation and around the world. We believe in sharing knowledge, learning from one another, valuing different opinions, and celebrating the things that make each one of us unique in our own right. UF Health Shands Hospital is an equal opportunity employer and drug-free workplace. Equal Opportunity Employer M/F/D/V

  • 8 Days Ago

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Augmentation Medical Staff
  • MODICAN MEDICAL & SAFETY TRAIN
  • Gainesville, FL FULL_TIME
  • Position Description: Modican Medical & Safety Training now has open registration for all medical personnel. Paramedics, EMT, Registered Nurse, License Practical Nurse, CNA, Medical Assistant, etc. If...
  • 20 Days Ago

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Augmentation Medical Staff
  • MODICAN MEDICAL & SAFETY TRAIN
  • Ocala, FL FULL_TIME
  • Position Description: Modican Medical & Safety Training now has open registration for all medical personnel. Paramedics, EMT, Registered Nurse, License Practical Nurse, CNA, Medical Assistant, etc. If...
  • 21 Days Ago

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Credentialing Specialist
  • PedIM Healthcare
  • Crystal, FL FULL_TIME
  • DescriptionWe are currently seeking a Credentialing Specialist who is responsible for maintaining active status for all providers by successfully completing initial and subsequent credentialing packag...
  • 26 Days Ago

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Credentialing Coordinator
  • Caregiver Services Inc
  • Summerfield, FL FULL_TIME
  • Our large and growing Nurse Registry with a strong focus on client satisfaction is seeking an exceptional Credentialing Coordinator located in Summerfield/Villages area.If you are a professional, reli...
  • 1 Month Ago

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Director Medical Staff Services
  • HCA Florida Ocala Hospital
  • Ocala, FL FULL_TIME
  • Introduction Last year alone, HCA Healthcare colleagues invested over 156,000 hours impacting our communities. As a(an) Director Medical Staff Services with HCA Florida Ocala Hospital, you can be a ma...
  • 2 Days Ago

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0 Medical Staff Credentialing Manager jobs found in Gainesville, FL area

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Assistant Professor - Invasive Aquatic Plant Management
  • University of Florida
  • Gainesville, FL
  • Classification Title: Ast Prof Job Description: The Institute of Food and Agricultural Sciences is creating an environme...
  • 4/26/2024 12:00:00 AM

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Supervisory Tax Specialist (TCO Group Manager), NTE 1 YR (12 MONTH ROSTER) (Amended)
  • Department Of The Treasury
  • Ocala, FL
  • Duties WHAT IS THE TAX EXEMPT/GOVERNMENT ENTITIES (TEGE) DIVISION? A description of the business units can be found at: ...
  • 4/26/2024 12:00:00 AM

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Legal Admin Specialist (Estate & Gift Tax) (Estate Tax Technical Advisor) (TEMP NTE 1 YR MBE, MBP)
  • Department Of The Treasury
  • Gainesville, FL
  • Duties WHAT IS THE SMALL BUSINESS SELF EMPLOYED (SBSE)DIVISION? A description of the business units can be found at: htt...
  • 4/26/2024 12:00:00 AM

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President
  • Putnam County Chamber of Commerce
  • Palatka, FL
  • Function: The President is the chief executive and administrative officer of the organization. The President is responsi...
  • 4/25/2024 12:00:00 AM

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Postdoctoral Research Associates to Characterize Microbial Ice Modulating Proteins and Molecules
  • University of Florida
  • Gainesville, FL
  • Classification Title: Postdoc Aso Job Description: The Institute of Food and Agricultural Sciences is committed to creat...
  • 4/25/2024 12:00:00 AM

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Supervisory Program Analyst (Team Manager) NTE 1 YR, MBE, MBP (12-month Roster) AMENDED
  • Department Of The Treasury
  • Ocala, FL
  • Duties WHAT IS THE LARGE BUSINESS AND INTERNATIONAL DIVISION? A description of the business units can be found at: https...
  • 4/24/2024 12:00:00 AM

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Cultivation Manager
  • Ayr Wellness
  • Gainesville, FL
  • Description Position at Ayr Wellness Company Description AYR Wellness is a publicly traded, multi-state cannabis company...
  • 4/22/2024 12:00:00 AM

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President
  • Putnam County Chamber Of Commerce
  • Palatka, FL
  • Function: The President is the chief executive and administrative officer of the organization. The President is responsi...
  • 4/22/2024 12:00:00 AM

Gainesville is located at 29°39'55" North, 82°20'10" West (29.665245, −82.336097), which is roughly the same latitude as Houston, Texas. According to the United States Census Bureau, the city has a total area of 62.4 square miles (161.6 km2), of which 61.3 square miles (158.8 km2) is land and 1.1 square miles (2.8 km2) is water. The total area is 1.74% water. Gainesville's tree canopy is both dense and species rich, including broadleaf evergreens, conifers, and deciduous species; the city has been recognized by the National Arbor Day Foundation every year since 1982 as a "Tree City, USA". Gain...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Staff Credentialing Manager jobs
$87,111 to $112,332
Gainesville, Florida area prices
were up 1.5% from a year ago

Medical Staff Credentialing Manager in Wichita Falls, TX
With the growing numbers of employed practitioners, hospitals and health systems are looking at delegated credentialing to speed up the provider enrollment process and reduce accounts receivable write-offs and claim holds which delay or decrease the revenues received from payers for the services provided to patients.
December 04, 2019
Medical Staff Credentialing Manager in Memphis, TN
Medical staff services professionals deal with credentialing every day, but how do background checks complement this critical process.
February 18, 2020
Medical Staff Credentialing Manager in Lima, OH
Medical staff services is a self-governing body within a healthcare organization and is responsible for keeping with independent practitioners who serve healthcare facilities.
January 24, 2020