Manager Credentialing (East Coast resident / Eastern Standard Time)

Job description

Location: Work from home (Pennsylvania) Shift: Days (United States of America) Scheduled Weekly Hours: 40 Worker Type: Regular Exemption Status: Yes Job Summary: Provides leadership assistance to the operations of assigned department(s). Responsible for Credentialing and Primary Source Verification. Job Duties: Work is typically performed in an office environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job. - Manages the entire Credentialing of providers for the Health System as it applies to NCQA, Joint Commission, DOH, CMS, DPW and other applicable regulatory standards to the credentialing and privileging processes within the system. - Oversees reviews and analysis of physician applications and credentialing documents including - certificates of education, residency and fellowship training, board certification and - eligibility, licensure, professional work history, liability insurance and malpractice - history. Assesses completeness of informatio...