Description

Core Clinical Partners stands at the forefront of Emergency and Hospital Medicine, delivering unparalleled services through a model that emphasizes patient-centric care and operational excellence. Our corporate values – Genuine, Accountable, Dynamic, Respectful, and Fun – are the pillars that uphold our commitment to revolutionize healthcare delivery.

The Credentialing Manager is responsible for managing a team that partners with medical providers, hospitals, insurance companies, operations leaders and other stakeholders to ensure clinicians are credentialed. This position develops and manages credentialing standards, best practices, and tools; and oversees all aspects of hospital and financial credentialing.

Essential Duties: 

• Train, develop, and assist employees in their essential duties 
• Manage employee performance using clear expectations, accountability, goals, and feedback 
• Foster open lines of communication with employees, clinicians, and stakeholders 
• Oversee quality assurance of data and credentialing practices 
• Serve as a point of escalation for questions and concerns 
• Resolve issues that arise and escalate when appropriate 
• Stay abreast of credentialing and recredentialing requirements for each client group 
• Cascade updates and beneficial information to team members and stakeholders 
• Perform functions of a credentialing specialist as needed to support volume 
• Other duties as assigned 

Skills, Knowledge, Abilities: 

• Ability to build and maintain trust with employees, colleagues, and clients 
• Exhibit growth mindset and team-orientated behaviors 
• Utilize independent judgment on determining areas of collaboration, escalation, and autonomy?
• Collaborate with professionals internal and external to the company and across geographic locations 
• Identify and execute opportunities for improvement 
• Knowledgeable on credentialing requirements and workflows for providers at differing client groups 
• Familiar with healthcare jargon and terminology related to credentialing 
• Excellent verbal and written communication skills 
• Excellent interpersonal and customer service skills 
• Excellent organizational skills and attention to detail 
• Navigate competing priorities and effectively work in a fast-paced environment 
• Manage information flow in a timely and accurate manner 
• Proficient in Microsoft Office and credentialing related software 

Requirements

Education: 

• High School Diploma or GED required 

Experience: 

• Prior credentialing experience required 
• Supervision or managerial experience preferred 
• Experience with MS Outlook, Word, and Excel 
• Experience with MS Teams and credentialing software preferred