Director Credentialing Operation Position Available In Hillsborough, Florida

• All the benefits and perks you need for you and your family:
• Paid Days Off from Day One
• Student Loan Repayment Program
• Career Development
• Whole Person Wellbeing Resources
• Mental Health Resources and Support
• 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.

• Schedule:

• Full Time
• Shift
• : Days

• Location:

• 3100 East Fletcher Avenue Tampa, Florida 33613
• The community you’ll be caring for:
• AdventHealth Division
• AdventHealth Tampa, a faith-based not-for-profit 626-bed tertiary-level acute care hospital located in the uptown district of Tampa, Florida, specializes in advanced cardiovascular medicine, neuroscience and neurology, digestive health, orthopedics, women’s services, pediatrics, oncology, endocrinology, bariatrics, wound healing, sleep medicine and general surgery including minimally invasive and robot-assisted procedures.

GME programs on the hospital campus currently include general surgery, obstetrics and gynecology, internal medicine and transitional year.

• AdventHealth Tampa is home to the renowned AdventHealth Pepin Heart Institute, a recognized leader in cardiovascular disease prevention, diagnosis, treatment and leading-edge research – caring for Tampa Bay’s hearts for over 35 years.
• The Kiran C. Patel Research Institute, also located at AdventHealth Tampa, leads the way in clinical and academic research in the areas of neuroscience, cardiovascular medicine, advanced surgery and more – contributing valuable knowledge that leads to tomorrow’s cures for conditions such as heart failure, cancer and other diseases.”
• The ro
• le you’ll contribute:
• The responsibility of this position is to direct delegated credentialing functions while managing the daily operations of the credentialing and provider enrollment team including selection, training, and supervision of credentialing and enrollment staff.

Administers these services with a strong emphasis on the delivery of quality, efficiency and superior service. Implements the policies and standards to ensure that credentialing operations are in compliance with NCQA credentialing standards and CMS. Works with AdventHealth Medical Group (AHMG), AdventHealth leadership, Managed Care Organizations and other departments within AdventHealth to fulfill its mission and goals. Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all.

• The val
• ue you’ll bring to the team:
• Credentialing Implement follow-up/quality improvement programs that focus on provider onboarding, data collection, processing, and payer follow-up across AdventHealth within FL.
• Provide oversight of credentialing/follow-up for both delegated and non-delegated physician groups and payers.
• Collaborate and coordinate with AdventHealth Medical Staff and respective physician organizations (e.g., AHMG) to maintain efficient and effective flow of information and processes.
• Maintain effective credentialing processes and standards that are physician-centric and focus on deliveringexceptional customer service to the physicians of AHMG and other practice entities.
• Provide oversight and guidance to the provider data and credentialing team to ensure all timelines, accuracy of data and work processes are met. Lead the credentialing and data teams and provide management in a way that promotes a positive, motivated working environment embodying the core values of AdventHealth. Qualifications
• T•he expertise and experiences you’ll need to succeed:•Master’s in Business Administration Required.

• 10 in credentialing within a large practice setting, PHO, health plan and/or medical staff service setting with responsibilities overseeing and managing credentialing including experience in delegated credentialing Required.
• 10 in a healthcare leadership/management position over credentialing; preferably with responsibilities overseeing and managing credentialing Required.
• Certified Provider Credentialing Specialist (CPCS) Required or Certified Professional Medical Staff Management (CPMSM) Required or Ability to obtain CPCS or CPMSM within 18 months of hire Required.

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range. The minimums and maximums for each position may vary based on geographical location.

• Category:

• Medical Staff

• Organization:

• AdventHealth Tampa

• Schedule:

• Full-time

• Shift:

• 1 – Day

• Req ID:

• 25022228We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.