Quality Compliance Manager

City/State:

Yonkers, New York Grant Funded:

No Department:

CMO -

Provider Credentialing Admin Work Shift:

Day Work Days:

MON-FRI Scheduled Hours:

8:30 AM-5

PM Scheduled Daily Hours:

7.5

HOURS Pay Range:

$60,800.00-$76,000.00 Job Summary The Quality Compliance Manager oversees the Quality Compliance program related to the credentialing and privileging process of the Medical and Allied health Staff for all entities in the Montefiore Health System ensuring consistency, accuracy and compliance with established protocols, accreditation and regulatory agencies. Oversees all Regulatory and delegated health plan surveys and audits for all entities of the Montefiore Health System including The Joint Commission, CMS, DOH, NCQA and all delegated health plan requirements. Qualifications Bachelor's Degree required 5 years of experience Experience in an Academic Medical Center, Multi-entity health system. Experience in Medical Staff Credentialing and Privileging and payor enrollment Credentialing Strong understanding of state, federal and accreditation standards (i.e

NCQA, TJC, CMS

) related to credentialing and enrollment Proficiency in credentialing specific software and systems. NAMSS certified provider credentialing specialist (CPCS) preferred Montefiore Medical Center is an equal employment opportunity employer. Montefiore Medical Center will recruit, hire, train, transfer, promote, layoff and discharge associates in all job classifications without regard to their race, color, religion, creed, national origin, alienage or citizenship status, age, gender, actual or presumed disability, history of disability, sexual orientation, gender identity, gender expression, genetic predisposition or carrier status, pregnancy, military status, marital status, or partnership status, or any other characteristic protected by law. Calling All Nurses!

Nurse Recruitment Hotline:

718-920-6697;

Monday-Friday:

9am-4pm Since its inception in 1884, Montefiore's mission has been to heal, to teach, to discover and advance the health of the communities we serve. Montefiore's state-of-the-art facilities include the internationally-recognized Children's Hospital at Montefiore and our Notable Centers of Excellence - Montefiore Einstein Center for Cancer Care, Montefiore Einstein Center for Heart and Vascular Care, Montefiore Einstein Center for Transplantation. Combined with a growing number of locations for primary and specialty care throughout the Bronx and Westchester County, Montefiore is the ideal organization to apply and hone your expertise. An assortment of insurance products and discount programs through Voluntary Benefits. Check out our comprehensive benefits available to you when you join our outstanding team! To heal, to teach, to discover and to advance the health of the communities we serve. To be a premier academic medical center that transforms health and enriches lives. Automated Employment Decision Tools Notice (AEDT)