Skills & Competencies for Medical Staff Credentialing Manager

Medical Staff Credentialing Manager job profile

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JOB SUMMARY for Medical Staff Credentialing Manager

Manages staff that process credentialing and recredentialing applications for medical providers.

JOB RESPONSIBILITIES for Medical Staff Credentialing Manager

Implements policies and procedures to ensure that applications are properly verified and accurately uploaded into an online credentialing database system. Presents files to the credentialing committee and may act as a liaison to state medical licensure boards regarding the status of license applications. Analyzes and prepares reports on trends in application status.

Medical Staff Credentialing Manager SALARY RANGE

BASE 50%
$105,007
TOTAL 50%
$109,075
Job Level
M02
Job Code
HC07000442
Education/Degree
Bachelor's Degree
Reports To
Top Management

Medical Staff Credentialing Manager Skills and Competencies List

Proficiency Levels and Behavioural Indicators
Salary.com identifies five increasing levels of proficiency for each skill/competency. Some jobs require only a relatively low level of proficiency in each skill/competency, while other jobs will require a more advanced level of proficiency in the same skill/competency. These levels rate the degree of proficiency (skill level, expertise) we expect the incumbent to perform in the given skill/competency for the given job. Note that we intentionally do not associate timeframes or years of experience in performing the skill/competency because that can be misleading. Proficiency levels identify what the incumbent knows and can do rather than how long they have been doing it. Also, note that the proficiency levels are cumulative, e.g., a level 4 proficiency implies the ability to perform all the behaviors at the lower levels.
Check each Medical Staff Credentialing Manager skill and competencie below to view definitions.
JOB FAMILY COMPETENCIES CORE COMPETENCIES
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5 general skills or competencies (Job family competencies) for Medical Staff Credentialing Manager

1 Job Family Competencies – Records Management
Proficiency Level -3
Skill definition-Managing and preserving records to help an organization keep the documentation accessible for both business operations and compliance audits.
Level 1 Behaviors
(General Familiarity)
Explains record management standard practices and procedures.
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Level 2 Behaviors
(Light Experience)
Supports record management and data collection to comply with laws and regulations.
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Level 3 Behaviors
(Moderate Experience)
Performs data maintenance for records to reduce the liabilities associated with document disposal.
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Level 4 Behaviors
(Extensive Experience)
Manages record management procedures to ensure better traceability.
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Level 5 Behaviors
(Mastery)
Creates a tracking system for record management to support continuous process improvement.
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2 Job Family Competencies – Compliance Management
Proficiency Level -3
Skill definition-Developing and managing compliance tools and processes to ensure employees and operations adhered to laws, regulations, and requirements.
Level 1 Behaviors
(General Familiarity)
Explains how financial crimes and compliance risk management disciplines affect compliance management.
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Level 2 Behaviors
(Light Experience)
Gathers reports related to analyses and recommendations for compliance management.
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Level 3 Behaviors
(Moderate Experience)
Recognizes opportunities to improve processes related to compliance management.
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Level 4 Behaviors
(Extensive Experience)
Guides management in resolving compensation issues to ensure compliance with payroll regulations.
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Level 5 Behaviors
(Mastery)
Establishes risk management strategies to avoid non-compliance issues throughout the organization.
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3 Medical Staff Credentialing Manager - Skill and Competency
Proficiency Level - 3
4 Skill and Competency - Medical Staff Credentialing Manager
Proficiency Level - 4
5 Competency for - Medical Staff Credentialing Manager
Proficiency Level - 5

10 soft skills or competencies (core competencies) for Medical Staff Credentialing Manager

1 Core Competencies – Budgeting
Proficiency Level -2
Skill definition-Applying specific policies, tools and practices to plan and prepare projected revenues, expenses, cash flows, and capital expenditures.
Level 1 Behaviors
(General Familiarity)
Explains the different purposes and uses of our organization's budgets.
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Level 2 Behaviors
(Light Experience)
Produces budget reports showing planned vs. actual variances highlighted and explained.
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Level 3 Behaviors
(Moderate Experience)
Reviews and helps approve major budget adjustments to negotiate and reconcile line variances.
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Level 4 Behaviors
(Extensive Experience)
Monitors budgeting processes to ensure adherence to our organization's financial practices and standards.
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Level 5 Behaviors
(Mastery)
Forecasts asset needs to leverage available inventory and data compilation for annual budgeting.
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2 Core Competencies – Planning and Organizing
Proficiency Level -3
Skill definition-Managing and prioritizing resources and workloads by creating well-organized plans to attain organizational goals and objectives.
Level 1 Behaviors
(General Familiarity)
Explains the importance of planning and organization in building a good working environment.
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Level 2 Behaviors
(Light Experience)
Identifies key implications of ineffective planning and organization that affects decision-making.
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Level 3 Behaviors
(Moderate Experience)
Leverages key performance indicators to measure progress completion against performance metrics.
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Level 4 Behaviors
(Extensive Experience)
Manages the planning and sequencing of activities to create well-planned schedules and achieve goals on time.
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Level 5 Behaviors
(Mastery)
Establishes standards for planning and organization processes to align efforts with business goals.
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3 Medical Staff Credentialing Manager - Skill and Competency
Proficiency Level - 3
4 Skill and Competency - Medical Staff Credentialing Manager
Proficiency Level - 4
5 Competency for - Medical Staff Credentialing Manager
Proficiency Level - 5

Summary of Medical Staff Credentialing Manager skills and competencies

There are 0 hard skills for Medical Staff Credentialing Manager.
5 general skills for Medical Staff Credentialing Manager, Records Management, Compliance Management, Healthcare Industry, etc.
10 soft skills for Medical Staff Credentialing Manager, Budgeting, Planning and Organizing, Coordination, etc.
While the list totals 15 distinct skills, it's important to note that not all are required to be mastered to the same degree. Some skills may only need a basic understanding, whereas others demand a higher level of expertise.
For instance, as a Medical Staff Credentialing Manager, he or she needs to be proficient in Budgeting, be skilled in Planning and Organizing, and be skilled in Coordination.

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