Supervisor of Credentialing

At BayCare, we are proud to be one of the largest employers in the Tampa Bay area. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With the support of more than 30,000 team members, we promote a forward-thinking philosophy that's built on a foundation of trust, dignity, respect, responsibility and clinical excellence. BayCare is currently in search of our newest Supervisor of Credentialing who is passionate about providing outstanding customer service to our community. BayCare's top priority is the health and well-being of our communities as Tampa Bay's leading multi-specialty group with more than 600 providers practicing 45 specialties in over 175 outpatient locations throughout the Tampa Bay and west central Florida regions.

• Position Details:

• + •

Location:

• Tampa, FL +

• Status:

• Full Time (EXEMPT) +

• Shift:

• 8:00 AM - 5:00 PM (HYBRID - must reside in Florida) The Supervisor of Credentialing is responsible for: + Supervising the Credentialing Specialists and the credentialing, privileging, and enrollment functions.

+ Ensures compliance of credentialing files and credentialing database updates completed by Credentialing Specialists, in order to meet NCQA, CMS, AHCA, State and Federal guidelines and regulations, as well as Department Policies. + Interviews, hires, trains, evaluates, coaches and counsels Credentialing Specialists to ensure they are meeting department quality standards. + Develops and updates quality standards, documents the processes and trains team members on new and revised quality standards. + Collaborates with other departments, including recruiting, onboarding, contracting, the CVO, MSOs, CBO and Managed Care contracting during the onboarding process and to resolve issues in onboarding and managed care enrollment. + Assists the Credentialing Manager with NCQA Accreditation renewals. + Covers for the Credentialing Manager as needed. Education + Required High School or Equivalent Experience + Requires 3 years - Credentialing or 3 years - Managed Care + Preferred Certification includes Certified Provider Credentialing Specialist (CPCS) or Certified Provider Medical Services Management (CPMSM). Specific Skills + Critical thinking skills; Computer skills appropriate to position + Medical Terminology use and understanding + Work with a team; Written and verbal communication skills + Time management skills; Customer service skills + Work independently; Problem solving + Communicate clearly with individuals at all levels of the organization + Analyze systems and processes and problem solve solutions + Organizational skills; Financial Management skills Benefits + BayCare offers a competitive total reward package including benefits, paid time off, tuition reimbursement, 401k match and additional yearly contribution, yearly performance appraisals with merit increases, yearly team award bonus, community discounts and the chance to be part of an amazing team and a great place to work! Equal Opportunity Employer Veterans/Disabled

• Position
• Supervisor of Credentialing
• Location

•

US:

Florida | Leadership | Full Time

• Req ID
• 149794