Manager, Credentialing (H)
Job Details
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The Department of Medical Student Education has an exciting opportunity for a full-time Manager, Credentialing to work in Miami, FL. The Manager, Credentialing oversees of all credentialing related functions while adhering to NCQA standards. Moreover, the incumbent directs the team to ensure all providers start on expected start date and all expiable documents are maintained and current.
This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.
- Oversees multiple departmental functions to support contracted facilities across all divisions.
- Manages provider onboarding process, both internally and externally.
- Oversees process in support of contract compliance.
- Ensures departmental guidelines support NCQA compliance.
- Performs annual reviews on direct reports to foster development.
- Identifies and analyzes the design of jobs, work processes, and work flows for the department.
- Implements appropriate changes to improve effectiveness, productivity, and efficiency.
- Performs audit procedures in support of quality improvements, timelines, and accountability.
- Develops and manages audit controls.
- Tracks trends to promote compliance, process enhancement, and efficiency.
- Ensures team is following all established processes and procedures, and meeting established deadlines.
- Establishes and continuously assesses the effectiveness of the internal controls within the unit and compliance with University policies and procedures. Ensures employees are trained on controls within the function and on University policy and procedures.
This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.
MINIMUM QUALIFICATIONS
- Bachelor’s degree in a relevant field
- Minimum 5 years of relevant experience
- Knowledge of business and management principles.
- Ability to direct, manage, implement, and evaluate department operations.
- Ability to establish department goals and objectives that support the strategic plan.
- Ability to effectively plan, delegate and/or supervise the work of others.
- Ability to lead, motivate, develop and train others.
DEPARTMENT SPECIFIC FUNCTIONS
Oversee all student credentialing and compliance functions that are part of the annual onboarding requirements for each medical school class per university and partner hospital requirements including pre-clinical and clinical requirements at both the Miami Medical Campus and the Regional Medical Campus.
- Oversee the efforts of various curriculum and student affairs staff members who participate in the multiple components of compliance requirements. Collaborate and communicate with staff and faculty to ensure that all credentialing and compliance requirements are being met.
- Create and monitor processes to track student demographics and compliance to ensure that all credentialing and compliance requirements are delineated, communicated, and completed within the specified deadlines.
- Communicate with students effectively and in a timely manner, providing assistance in support of their required tasks, training, and deadlines regarding all their onboarding needs and compliance requirements.
- Collaborate with individual site coordinators and risk management on tracking student compliance, completion verifications, fingerprinting, ID badges, scrubs, training and approvals within the required deadlines prior to onboarding.
- Collaborate with other Company staff members/Program managers to avoid conflict in scheduling trainings/deadlines.
- Create and oversee the team to assure the online site for students is current and user friendly.
Any appropriate combination of relevant education, experience and/or certifications may be considered.
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The Company offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more.
UHealth-Company Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. We're the challenge you've been looking for.
Patient safety is a top priority. As a result, during the Influenza ("the flu") season (September through April), the Company Miller School Of Medicine requires all employees who provide ongoing services to patients, work in a location (all Hospitals and clinics) where patient care is provided, or work in patient care or clinical care areas, to have an annual influenza vaccination. Failure to meet this requirement will result in rescinding or termination of employment.
The Company is an Equal Opportunity Employer - Females/Minorities/Protected Veterans/Individuals with Disabilities are encouraged to apply. Applicants and employees are protected from discrimination based on certain categories protected by Federal law. Click here for additional information.
Job Status:Full time
Employee Type:Staff
Pay Grade:H12
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