York, PA, 17405, USA
1 day ago
Manager-Credentialing
**General Summary** Leads the Credentialing business line and oversees day-to-day credentialing operations to ensure timely, compliant credentialing and recredentialing outcomes. Responsible for staff leadership, process governance, performance management, and collaboration with clinical and operational stakeholders to support safe practice and organizational needs. **Duties and Responsibilities** **Essential Functions:** + Plans, directs, and monitors credentialing operations to ensure compliance with organizational policy and applicable requirements. + Leads, coaches, and evaluates credentialing staff. Oversees hiring, onboarding, training, scheduling, and performance management. + Monitors operational performance (e.g., backlog, turnaround times, quality indicators) and implements corrective actions and continuous improvement initiatives. + Ensures integrity of credentialing data within systems and coordinates with IT/IS partners as needed for reporting. + Supports internal and external audits and accreditation/compliance reviews. Develops and tracks corrective action plans as needed. + Maintains and updates quality-related policies, procedures, and work instructions in collaboration with department leadership. + Develops and delivers routine reporting to leadership, including key risks, trends, and operational outcomes. **Common Expectations:** + Develops, establishes and implements goals, objectives, and policies and procedures for department/service line/entity operation, and which guide and support the provision of the department/service line/entity's services. + Recommends staffing levels, selects and assigns staff, evaluates performance, evaluates/tests competencies (as applicable), provides orientation, training and continuing education of staff, and initiates or makes recommendations for personnel actions. + Coordinates and integrates services within the department/service line/entity, with other departments/service lines/entities, and with the System's primary functions. Participates in the selection of outside services (if needed). + Continuously assesses and improves the department/service line/entity/System's performance. Maintains appropriate quality control/assessment programs (if applicable). + Compiles data for and prepares regularly scheduled or special reports, analyses and statements. + Develops and manages department budget and ensures department operates within budget. + Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise. + Provides outstanding service to all customers; fosters teamwork; and practices fiscal responsibility through improvement and innovation. **Qualifications** **Minimum Education:** + High School Diploma or GED Required + Bachelors Degree or higher in a related field Preferred **Work Experience:** + 7 years Progressive experience in provider credentialing/medical staff services, including at least 2 years of people leadership or equivalent supervisory experience Required + Experience leading credentialing operations in a large health system and supporting committees and/or audit activities Preferred **Licenses:** + Certified Provider Credentialing Specialist Upon Hire Preferred or + Certified Professional Medical Services Management Upon Hire Preferred **Knowledge, Skills, and Abilities:** + Strong attention to detail and ability to manage multiple priorities while meeting deadlines + Proficiency with Microsoft Office (Outlook, Excel, Word) and ability to learn credentialing/enrollment systems + Effective written and verbal communication skills with providers, payers, and internal stakeholders + Ability to interpret policies, procedures, and payer/agency requirements and apply them consistently + Demonstrated discretion and ability to maintain confidentiality of sensitive information + Demonstrated leadership skills, including change management, performance management, and stakeholder communication **Benefits Offered:** + Comprehensive health benefits + Retirement savings plan + Paid time off (PTO) + Education assistance + Financial education and support, including DailyPay + Expanded Paid Parental Leave For additional details: Benefits & Incentives | WellSpan Careers (joinwellspan.org) (https://www.joinwellspan.org/benefits/) **Quality of Life** Founded in 1741, the city of York is considered by many as the first capital of the United States. The Articles of Confederation were signed by the Second Continental Congress here in 1777. Its beautifully restored historic district is an architectural treasure. While York retains its farming and manufacturing heritage, at its heart York is a thriving cultural community that has attracted creative talent and innovative entrepreneurial investors from across the nation. Life in York County offers affordable housing, options for higher education, a thriving arts and cultural community, historical attractions, parks and recreational resources, semi-professional baseball team, fine dining and more - within an easy drive of major East Coast cities. York County residents can find local employment in healthcare, manufacturing, technology, agricultural and service sectors. (Patient population: 445,000) WellSpan Health is an Equal Opportunity Employer. It is the policy and intention of the System to maintain consistent and equal treatment toward applicants and employees of all job classifications without regard to age, sex, race, color, religion, sexual orientation, gender identity, transgender status, national origin, ancestry, veteran status, disability, or any other legally protected characteristic.
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