Medical Staff Credentialing Manager jobs in Washington, DC

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)

C
Supervisor, Medical Staff Credentialing
  • Children's National Medical Center
  • Washington, DC FULL_TIME
  • Description The Medical Staff Supervisor is responsible for successfully supervising the organizational and administrative operations of the CVO and all credentialing and privileging of the Medical Staff Department. Performs supervisory duties, including training, evaluating, and the day-to-day management of the Medical Staff team. The Supervisor is accountable for quality and integrity of data entered into systems and monitors administrative activities related to the Medical Staff Office. Collaborates with the Director to assign work to team members, assuring timely completion of project milestones and deliverables as appropriate. Emphasis is placed on customer services, provider satisfaction, staff development and fiscal goals. Supervises and oversees all credentialing services, provides onboarding assistance to the medical staff, assists in the supervision of various information systems used in credentialing functions, and oversees the process for delegated credentialing.
    Qualifications Minimum Education
    Bachelor's Degree (Required)
    Master's Degree (Preferred)

    Minimum Work Experience
    3 years of credentialing experience (Required)

    Required Skills/Knowledge
    Excellent written and verbal communication skills, detailed knowledge of medical staff credentialing.
    Knowledge of various accreditation standards (JC, NCQA, AAAHC, DOH) and State laws
    Knowledge of ECHO (or equivalent) Credentialing Data System preferred

    Required Licenses and Certifications
    Certified Provider Credentialing Specialist CPCS and CPMSM 2 Yrs (Required)
    .

    Functional Accountabilities
    Credentialing
    • Supervises day to day activities of the credentialing services staff.
    • Ensures that processes function smoothly and timely
    • Develops departmental guidelines to ensure compliance with the Medical Staff Bylaws
    • Oversees processes and minutes for CC.
    • Provides updated credentials committee actions to managed care for submission to the various payer's
    • Handles delegated credentialing audits. Develops responses and action plans as needed. Submits results to manager, medical affairs for the Credentials Committee.
    Program and Service Administration and Implementation
    • Supervises processing of initial appointments and reappointments.
    • Conducts audits of completed appointments and reappointment applications.
    • Provides education and feedback to staff.
    • Prepares files for credentials committee actions.
    • Develops automated processes in ECHO for appointments and reappointments.
    Compliance
    • Develops process to ensure that all providers maintain current licensure, health attestations, certifications and insurance certificates.
    • Provides list of providers to be deferred monthly for medical staff action.
    • Develops automated processes in ECHO for tracking licensure, etc. and sending notifications.
    Customer Service
    • Supervises staff in physician on-boarding, to include assisting new doctors in application process for obtaining appropriate licensure, as well as medical staff privileges.
    • Develops and applies metrics around time of hire, medical staff application date, licensure application, licenses granted and medical staff privileges approved.
    • Trains staff in customer service activities and maintains high level of customer service.
    • Develops automated processes in ECHO to assist in on-boarding process.

    Organizational Accountabilities
    Organizational Accountabilities (Staff)
    Organizational Commitment/Identification

    Teamwork/Communication

    Performance Improvement/Problem-solving

    Cost Management/Financial Responsibility

    Safety
    Primary Location: District of Columbia-Washington
    Work Locations:
    CN Hospital (Main Campus)
    111 Michigan Avenue
    Washington 20010
    Job: Management
    Organization: Chief Academic Officer
    Position Status: R (Regular) - FT - Full-Time
    Shift: Day
    Work Schedule: 8:00 - 4:30PM
    Job Posting: Apr 22, 2024, 3:21:35 PM

    Equal Opportunity Employer of Minorities, Females, Protected Veterans, and Individual with Disabilities.

     

  • Just Posted

C
Supervisor, Medical Staff Credentialing
  • Children's National Hospital
  • Washington, DC FULL_TIME
  • Description The Medical Staff Supervisor is responsible for successfully supervising the organizational and administrative operations of the CVO and all credentialing and privileging of the Medical St...
  • Just Posted

F
Medical Staff Credentialing Specialist - Full-time with Benefits
  • Frederick Health
  • Frederick, MD FULL_TIME
  • Job Summary Handles the duties and operations of the medical staff office, ensuring compliance with standards set by the Joint Commission, NCQA, and other accrediting bodies related to medical staff s...
  • 12 Days Ago

P
Provider and Payer Credentialing Manager
  • PRESTIGE HEALTHCARE RESOURCES INC
  • Washington, DC FULL_TIME
  • JOB DESCRIPTION: Reporting to the Chief Operating Officer (COO), the Provider and Payer Credentialing Manager monitors the credential status of licensed and certified employees and contractors of Pres...
  • 1 Month Ago

A
Credentialing Manager of Accreditation
  • ANSI National Accreditation Board (ANAB)
  • Washington, DC FULL_TIME
  • You don't just want a job! You want an opportunity to be part of something special. A career at the ANSI National Accreditation Board (ANAB) is that and more.ANAB is the largest multi-disciplinary acc...
  • 24 Days Ago

H
Housekeeping Manager
  • Housekeeping Manager
  • Washington, DC FULL_TIME
  • Rosewood Washington DCHousekeeping ManagerCompetitive Benefits:Medical, Dental, Vision BenefitsCompetitive SalaryCellphone stipend of $40/month401k Plan and up to 3% match after 1 yearPaid Time Off (V...
  • Just Posted

Filters

Clear All

  • Filter Jobs by companies
  • More

0 Medical Staff Credentialing Manager jobs found in Washington, DC area

H
Manager, Customer Success Team (local, in office)
  • Heuristic Solutions
  • Arlington, VA
  • Job Description Job Description Join a Growing Technology Team and an Awesome Customer Community! Do you...Love leading ...
  • 4/24/2024 12:00:00 AM

G
Systems Security Analyst / Cybersecurity Engineer / Mostly Remote
  • Global Engineering & Technology, Inc.
  • Washington, DC
  • This position requires a current DOE Q or DoD Top Secret security clearance. THIS IS A HYBRID-REMOTE POSITION. In its ma...
  • 4/24/2024 12:00:00 AM

G
Information Systems Security Officer
  • Guidehouse
  • Dhs, VA
  • Job Family: Technology Consulting Travel Required: None Clearance Required: Active Secret Guidehouse has an exciting opp...
  • 4/22/2024 12:00:00 AM

G
Systems Security Analyst / Cybersecurity Engineer / Mostly Remote
  • Global Engineering & Technology Inc.
  • Washington, DC
  • This position requires a current DOE Q or DoD Top Secret security clearance. THIS IS A HYBRID-REMOTE POSITION. In its ma...
  • 4/22/2024 12:00:00 AM

C
CDA Credentialing Support
  • Council for Professional Recognition
  • Washington, DC
  • Job Description Job Description JOB SUMMARY Under direct supervision of the CDA Credentialing Manager, the CDA Credentia...
  • 4/21/2024 12:00:00 AM

W
Physical Security Subject Matter Expert (SME)
  • Watermark Risk Management International Llc
  • Washington, DC
  • Come make your mark with Watermark! ?FOUNDED BY USAF VETERANSin 2007, we are proud to be a Service-Disabled Veteran Owne...
  • 4/21/2024 12:00:00 AM

W
Physical Security Specialist
  • Watermark Risk Management International Llc
  • Washington, DC
  • Come make your mark with Watermark! ??? FOUNDED BY USAF VETERANS in 2007, we are proud to be a Service-Disabled Veteran ...
  • 4/21/2024 12:00:00 AM

H
Manager, Customer Success Team (local, in office)
  • Heuristic Solutions
  • Arlington, VA
  • Join a Growing Technology Team and an Awesome Customer Community! Do you... Love leading a team dynamic technical custom...
  • 4/21/2024 12:00:00 AM

Washington, D.C. is located in the mid-Atlantic region of the U.S. East Coast. Due to the District of Columbia retrocession, the city has a total area of 68.34 square miles (177.0 km2), of which 61.05 square miles (158.1 km2) is land and 7.29 square miles (18.9 km2) (10.67%) is water. The District is bordered by Montgomery County, Maryland to the northwest; Prince George's County, Maryland to the east; Arlington County, Virginia to the south; and Alexandria, Virginia to the west. The south bank of the Potomac River forms the District's border with Virginia and has two major tributaries: the An...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Staff Credentialing Manager jobs
$107,132 to $138,150
Washington, District of Columbia area prices
were up 1.3% 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