Medical Staff Credentialing Manager jobs in New York, NY

The Aspen Group (TAG) is one of the largest and most trusted retail healthcare business support organizations in the U.S. and has supported over 16,000 healthcare professionals and team members at more than 1,200 health and wellness offices across 46 states in four distinct categories: Dental care, urgent care, medical aesthetic, and animal health. Working in partnership with independent practice owners and clinicians, the team is united by a single purpose: to prove that health care can be better and smarter for everyone. TAG provides a comprehensive suite of centralized business support services that power the impact of five consumer-facing businesses: Aspen Dental, ClearChoice Dental Implant Centers, WellNow Urgent Care, Chapter Aesthetic Studio, and AZPetVet. Each brand has access to a deep community of experts, tools, and resources to grow their practices, and an unwavering commitment to delivering high-quality consumer healthcare experiences at scale.

Our continued growth has created an opportunity to join us as a Manager, Provider Credentialing.

Job Summary:

The Manager of Provider Credentialing plays a vital role within our Payor Strategy Team and is responsible for leading a team of Credentialing Specialists. The successful candidate will report to the Director of Credentialing & Enrollment.

Essential Functions:

• Lead team of 10 Credentialing Specialists that oversee all Provider Credentialing for Aspen Dental

• Organizes & leads the Credentialing Committee weekly.

• Ensure that all licensure, certification, and CME is updated and active for all clinical and ancillary staff.

• Supervises, plans, directs, coordinates, and evaluates the work product of team members.

• Supervise and assist new providers with obtaining required clinical licenses and coordinates the full cycle onboarding.

• Establish policies, procedures, toolkits, and best practices necessary for successful provider onboarding, including established timeframes, required documentation, and checklists.

• Supervises the maintenance and monitoring all licenses and certifications.

• Supervised the coordination of provider enrollment activities (including initial credentialing or re-credentialing) for all providers.

• Ensure all facilities/practitioner licenses and certifications are accurate and in good standing at all times.

• Ensure that all processing and reporting deadlines are consistently achieved.

• Responds to requests from management/staff/providers/outside entities related to credentialing of practitioners.

• Other duties as assigned.

Experience:

• Bachelor's degree (or required experience)

• CPCS or CPMSM certified strongly preferred

• 5-7 years of progressively responsible management or supervisory level credentialing experience in a health care setting with at least three (3) of these years' experience in a medium to large health system

• Excellent time management, prioritization, and organizational skills a must

• Detail oriented with a strong level of analytical, and problem-solving skills

• Proficient use of Microsoft Office Suite

• Ability to work independently and proactively in a fast-paced, dynamic environment.

• Highly self-motivated, directed and proactive

• Flexible and adaptable in regard to learning and understanding new technologies

• Able to communicate effectively within department and with members of interdisciplinary teams

• Demonstrates ability to lead, manage and motivate teams

• In depth knowledge of credentialing NCQA Standards

• Proven analytical and problem-solving abilities

• Experience with credentialing software preferred

Salary range: ($75,000-$90,000/per year, DOE), plus annual bonus up to 10%

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