Supervisor - Dental Provider Credentialing job at USAble Life in Jacksonville, FL

Supervisor-Dental Provider Credentialing - Remote Job Category: Provider Network Management Requisition Number: SUPER002200 Full-Time Remote Locations Showing 1 location Jacksonville, FL 32246, USA Job Details

What We Offer

You: A culture that values employees and celebrates, empowers, and inspires a diverse workforce Outstanding and affordable benefits package PTO provided at date of hire 11 paid holidays 401(k) with up to 6% match; fully vested from day 1 Remote opportunities with company-provided equipment Team-oriented, collaborative group of peers Career advancement opportunities Tuition Reimbursement Employee Assistance Program Inclusion Council and Employee Resource Groups Recharge Days and Volunteer Time Off This is a remote position. Life Takes You Places! Are you ready to join us? The starting base salary range for a Supervisor-Dental Provider Credentialing is $63,000 to $90,000. Actual salaries will vary by geographic location and are based on factors such as candidate’s qualifications, experience, skills, competencies, and company tenure & equity. In addition to base compensation, this role is eligible for a annual incentive plan based on company performance and individual performance. Supervisor, Dental Provider Data Maintenance & Credentialing Overview The Supervisor, Dental Provider Data Maintenance & Credentialing supervises the daily tasks of the Provider Data Maintenance & Credentialing Specialist I. This role works with outside vendors including but not limited to CVO, Dental Directors, Print and Mail Services. Essential Duties Monitors workflow within the team and with outside vendors such as the CVO and identifies opportunities for process improvements. Coaches and provides assistance and feedback to staff as needed Researches, plans, and prepares departmental reports to ensure accuracy and efficiency of the team's data entry and adherence to NCQA protocols for credentialing and re-credentialing Works directly with internal and external auditors and follows up on any recommended actions. Works directly with Dental Director and Credentialing Committee attendees to ensure all files are reviewed, signed off on and any follow-up action completed Facilitates all mailings associated with re-credentialing to ensure that NCQA guidelines relative to timeliness are being met May perform other duties, including the daily functions of the credentialing team as assigned Monitors and recommends adjustments to workflow processes and staff assignments Prepares performance reviews, and administrative action documentation, and reviews with staff as necessary Coordinates audit reviews as necessary and follows up on any action items Manages reports to monitor efficiency and quality review Prepares the monthly agenda for Credentialing Committee meeting Makes all preparations for the Credentialing Committee Meeting and attends and creates meeting minutes Drafts letters for all tabled cases and prepares check requests for the attendees' stipends Required Knowledge, Skills, and Abilities Knowledge of general credentialing processes Knowledge of CVOs and NCQA Credentialing Guidelines Advanced MS Office skills, particularly Excel Excellent verbal and written communication skills including the ability to compose professional correspondence Demonstrated leadership skills and the ability to assist and guide others Ability to supervise staff using appropriate tools and techniques Ability to maintain attention to detail and a low error rate Ability to prioritize tasks and work within time constraints Required Education and Experience Bachelor’s Degree or related experience 3 to 5 years’ provider data maintenance & credentialing experience Credentialing Delegation Oversight experience Minimum 1 year of management experience Or, equivalent military experience Preferred Education and Experience 3 years as a Credentialing Specialist II Certified Provider Credentialing Specialist (CPCS®) Apply tot his job Apply To this Job