The Credentialing Manager is responsible for managing the initial credentialing, re-credentialing and the continuous credentialing processes for individual and organizational Providers; supervision of credentialing staff, maintenance of the integrity of Provider data in credentialing files and in the credentialing database, compliance with regulatory and accreditation standards. The manager is also responsible for performance expectations related to credentialing quality control, delegation oversight, departmental goals. The manager collaborates with fellow leadership, co-workers, and staff in other departments to achieve departmental and organizational objectives and to deliver exceptional Member and Provider Service. The manager also fosters an environment of continuous learning, staff development, and performance improvement through defined metrics.
Bachelors degree in Health Care Administration or Business related discipline required.
Four years of related experience may be substituted in lieu of the degree requirement.
NAMSS Certification (CPCS or CPMSM) strongly preferred or eligibility to acquire within 12 months after date of hire
Four years in the following areas: Hospital Credentialing, Health Plan Credentialing
Two years of mangement in a credentialing setting.
Writing /Composing(Correspondence / Reports )
MS Word MS Access
Please be advised: Effective Wednesday, September 1st, 2021, with the exception of those who receive an approved exemption, all new hires must provide proof of vaccination against COVID-19 or receive the first dose of a COVID-19 vaccine by the second Friday of employment.
The Harris Health System is a fully integrated healthcare system that cares for all residents of Harris County, Texas. We are the first accredited healthcare institution in Harris County to be designated by the National Committee for Quality Assurance as a Patient-Centered Medical Home, and are one of the largest systems in the country to achieve the quality standard. Our system includes 23 community health centers, five school-based clinics, a dental center and dialysis center, mobile health units, a rehabilitation and specialty hospital and two full-service hospitals.Ben Taub Hospital is a world renowned Level I Trauma Center with 586 licensed acute-care beds and provides a wide range of specialty care outpatient services. Lyndon B. Johnson Hospital is a 328 licensed bed acute-care hospital with a newly expanded Level III trauma center and a distinguished regional center for neonatal intensive care for high-risk deliveries.Harris Health is a teaching system for Baylor College of Medicine and The University of Texas Health Science Center at Houston (UTHealth). We train the next generation of healthcare providers on the latest medical procedures and technological breakthroughs.With... our fully integrated electronic medical records system, we offer patients the convenience and assurance that their medical history is accurate, safe and available when and where it is needed. Our Medical Home designation ensures that we offer a full range of preventive, specialty and acute care services for the entire family.