Albion Staffing

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Director of Credentialing

at Albion Staffing

Pay: $100,000 to $120,000/year
Posted: 3/15/2019
Job Status: Full Time

Job Description

About Albion Staffing Solutions:
Albion has been offering Temp; Contract and Direct Hire Staffing Services for 20-years from offices located throughout South Florida.  Offering General Admin/Clerical and Light Industrial staffing services, Albion also specializes in the Logistics, Allied Healthcare and Banking industries.

About this opportunity:
Albion' Healthcare Division has a client, a leading national physician group and practice management company established in 1953 looking to hire a Director of credentialing.

Essential Duties and Responsibilities:

  • Works with Department Managers and Supervisors to insure proper credentialing, licensing, and current hospital privileges are active and kept active on an ongoing basis.
  • Works with Department Heads and their teams to insure a smooth transition of providers when on-boarding for new contracts and during Acquisitions.
  • Interacts with Compliance, Operations, Recruiting, and other Department Heads to assure smooth communication between departments, clear and concise work flow and NCQA rules and regulations are met.
  • Develops, and monitors department performance
  • Updates and maintains executive level visual presentation
  • Interacts with internal and external clients on strategic initiatives related to Credentialing and onboarding providers.
  • Works to assure that NCQA rules and regulations, audits and compliance needs are in place and quality issues are handled in a timely manner.
  • Works with Department Heads and Departments to insure all malpractice insurance, tails and liability coverages are in place.
  • Work to insure Department is maintaining “Lean” initiatives as set by Company.
  • Travel as needed
  • Supervise and train Credentialing Staff as needed.

Qualifications:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • Demonstrated, in-depth knowledge of credentialing
  • Understanding of NCQA /JC Accreditation standards and policies and procedures
  • Ability to develop and manage audit controls
  • Ability to create, implement, document and audit policies and procedures
  • Manage both direct and indirect remote employees and ensure internal controls are followed
  • Highly analytical with the ability to demonstrate command of the details and to articulate those details at a higher level
  • Achievement-oriented with a positive, results-oriented style
  • Strong interpersonal skills with an ability to work effectively in a team environment
  • Very strong written and oral communication skills
  • Ability to effectively prioritize and execute tasks in a high-pressure environment
  • Experience working both independently and in a team-oriented, collaborative environment
  • Demonstrated ability in leadership and/or managing others
  • Strong interpersonal, project management and mentoring skills. 
  • Ability to make decisions in a rapidly growing, professional, service oriented environment.                        

Education/Experience:

  • Bachelor's Degree from four-year College or university and 10 or more years of related experience; or equivalent combination of education and experience. MBA preferred.

Computer Skills:

To perform this job successfully, an individual should have knowledge of:

  • Microsoft Office Suite
  • Vistar or other credentialing software.

Certificates and Licenses:

  • Certified Provider Credentialing Specialist Preferred

Supervisory Responsibilities:

  • Trains, coaches, and mentors team
  • Responsible for managing non-exempt and potentially exempt employees
  • Assists with planning and conducting performance appraisals and talent assessments of staff, recommending merits, bonuses and promotions and administering corrective actions when necessary
  • Responsible for managing exempt and non-exempt employees
  • Plans and conducts performance appraisals and talent assessments of staff, recommends merits, bonuses and promotions and administers corrective actions when necessary

Workplace Location:
Applicants will work in the customer's facility - located in Plantation, FL

Candidate Advice

  • Albion uses E-Verify to verify employment eligibility.
  • Pre-Employment and random Drug and Background testing applicable.
  • Only Local Candidates will be considered; no relocation provided.
  • Reliable Transportation to/from the workplace is necessary.