Medical Staff Credentialing Director jobs in Atlanta, GA

Overview:
Work for a company that is truly making the world a happier place, one smile at a time! At Benevis, we create over a million smiles a year in the communities we serve and believe that every person deserves access to quality, affordable dental care. This mission drives everything we do. With over 3000 employees in offices across the country from clinical to support staff - we are united in our mission to create happy, healthy smiles through providing high quality dental care in a fun, compassionate environment. Are you ready to join us in creating our next million smiles? We have JUST the opportunity for you.

The Credentialing Director is responsible for leading the credentialing department. They play a vital role in ensuring that our dental professionals meet the regulatory requirements for our locations, and that providers are enrolled in a complete and timely manner with a multitude of insurance payors. This role involves collaborating with internal leaders and managers across departments to ensure alignment and workflow progress.

Responsibilities:

• Daily oversight, audit functionality and responsibility for teams that perform all provider credentialing, dental plan enrollment (including delegated credentialing) and assisting providers in obtaining licensure.
• Maintain and report to leadership on team performance using metrics and KPIs, while continually looking for ways to improve efficiencies
• Manage the collection, verification, and maintenance of provider credentials, including licenses, certifications, malpractice insurance, and other required documentation.
• Build and maintain relationships with key stakeholders in Operations, HR, and other departments.
• Develop written Standard Operating Procedures for the centralization and standardization of processes; continually monitors changes in workflow as needed to improve productivity.
• Manage and/or assist in key department or cross-functional projects
• Work directly with insurers to foster a strong partnership and maximize efficiencies related to all credentialing and enrollment functions
• Motivate diverse teams by exemplifying the company vision, mission, values, and culture
• Forecast department staffing needs and manages staffing levels, with a strong focus on developing and retaining strong talent.
• Other duties as assigned.

Qualifications:

• Bachelor’s Degree required, MBA or other MA preferred
• Seven plus years’ experience with in-depth working knowledge of provider credentialing, with Dental credentialing experience a key plus.
• Strong working knowledge of CAQH and NCQA guidelines, as well as industry standards for credentialing best practices.
• Proficient in navigating state regulations guidance on enrollment requirements

Required or Specialized Skills:

• High level of experience and expertise successfully managing a team
• Flexibility to support and to adapt to change
• Current, in-depth knowledge of governmental and commercial credentialing rules and regulations
• Strong working knowledge of the end-to-end credentialing process, including primary source verification, delegated credentialing and dental plan provider enrollment
• Proven career progression with increasing levels of project experience and responsibility
• Proficient in Microsoft Office, including Excel, Word, and PowerPoint
• Excellent oral and written communications, interpersonal and organizational skills
• Strong ability to measure and report to key metrics of team performance
• Must be able to report to the office twice per month.

Preferred Skills: Dental credentialing expertise, particularly within the government payor space

We value teamwork, mutual respect, and cooperation. We do not practice unlawful discrimination, including harassment, or tolerate it in our workplace. What do we mean by discrimination? We mean that we do not discriminate on the basis of race, color, creed, religion, sex, national origin, age, citizenship, disability, sexual orientation or any other characteristic protected by federal, state, or local law.

Job Type: Full-time

Pay: From $80,000.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Flexible schedule
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• Monday to Friday

Supplemental pay types:

• Bonus pay

Education:

• Bachelor's (Required)

Experience:

• Management: 3 years (Required)
• Dental Credentialing: 4 years (Required)

Work Location: Hybrid remote in Atlanta, GA 30339