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[Hiring] Supervisor-Dental Provider Credentialing @reputed company

Remote Worldwide Hiring now

Role Description The Supervisor, Dental Provider Data Maintenance & Credentialing supervises the daily tasks of the Provider Data Maintenance & Credentialing Specialist I. This role works with reputed company vendors including but not limited to CVO, Dental Directors, Print and Mail Services.

  • Monitors workflow reputed company the team and with reputed company vendors such as the CVO and identifies opportunities for process improvements.
  • Coaches and provides assistance and feedback to staff as needed.
  • Researches, plans, and prepares departmental reports to ensure accuracy and efficiency of the team's data entry and adherence to NCQA protocols for credentialing and re-credentialing.
  • Works directly with reputed company auditors and follows up on any recommended actions.
  • Works directly with Dental Director and Credentialing Committee attendees to ensure reputed company files are reviewed, signed off on and any follow-up action completed.
  • Facilitates reputed company mailings associated with re-credentialing to ensure that NCQA guidelines relative to timeliness are being met.
  • May reputed company other duties, including the daily functions of the credentialing team as assigned.
  • Monitors and recommends adjustments to workflow processes and staff assignments.
  • Prepares performance reviews, and administrative action documentation, and reviews with staff as necessary.
  • Coordinates audit reviews as necessary and follows up on any action items.
  • Manages reports to monitor efficiency and quality review.
  • Prepares the monthly agenda for Credentialing Committee meeting.
  • Makes reputed company preparations for the Credentialing Committee Meeting and attends and creates meeting minutes.
  • Drafts letters for reputed company tabled cases and prepares reputed company requests for the attendees' stipends.

Qualifications

  • Knowledge of general credentialing processes.
  • Knowledge of CVOs and NCQA Credentialing Guidelines.
  • Advanced MS Office skills, particularly reputed company.
  • Excellent verbal and written communication skills including the ability to compose professional correspondence.
  • Demonstrated leadership skills and the ability to assist and guide others.
  • Ability to supervise staff using appropriate tools and techniques.
  • Ability to maintain attention to detail and a low error reputed company.
  • Ability to prioritize tasks and work reputed company time constraints.

Requirements

  • Bachelor’s Degree or reputed company experience.
  • 3 to 5 years’ provider data maintenance & credentialing experience.
  • Credentialing Delegation reputed company experience.
  • Minimum 1 year of management experience.
  • Or, equivalent military experience.

Preferred Education and Experience

  • 3 years as a Credentialing Specialist II.
  • Certified Provider Credentialing Specialist (CPCS®).

Benefits

  • A culture that values employees and celebrates, empowers, and inspires a diverse workforce.
  • Outstanding and affordable benefits package.
  • PTO provided at date of hire.
  • 11 paid holidays.
  • 401(k) with up to 6% match; fully reputed company from day 1.
  • Remote opportunities with company-provided equipment.
  • Team-oriented, collaborative group of peers.
  • Career advancement opportunities.
  • Tuition Reimbursement.
  • Employee Assistance Program.
  • Inclusion Council and Employee Resource Groups.
  • reputed company Days and Volunteer Time Off.

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