Medical Staff Credentialing Manager jobs in Maine

Summary

Position Summary

Reporting to the Sr. Director of Credential Verification and Regional Medical Staff, the Manager of Credentialing & Medical Staff Compliance is responsible for the development, implementation, and monitoring of comprehensive compliance policies and procedures that ensure compliance with organizational, industry, and regulatory standards. This leader will build and maintain a compliance infrastructure (including creating and updating of local database(s) and tracking logs), data mining, development and implementation of internal audit plan(s) and develop a compliance mandatory training program for new employees of the Credentialing Verification team (CV) and Medical Staff Offices (MSO). Furthermore, the Manager of Credentialing and Medical Staff Compliance will be responsible for identifying performance improvement opportunities and implementing measures to address areas of non-compliance. The incumbent will develop monitoring and auditing tools to ensure compliance with policies and procedures, applicable laws, and contractual obligations.

Required Minimum Knowledge, Skills, and Abilities (KSAs)

• • Education: Bachelor’s degree required. May consider 10 years of directly relevant experience focused on credentialing and/or credentialing compliance in lieu of the Bachelor’s degree.
  • License/Certifications: Currently a Certified Provider Credentialing pecialist (CPCS) or Certified Professional Medical Services Management (CPMSM) issued by the National Association of Medical Staff Services (NAMSS).
  • Experience: 5 to 7 years of Medical Staff and/or Credentialing experience required with 3 years in a supervisory role preferred.
  • Strong intellectual curiosity and ability to solve difficult problems with minimal supervision. Ability to manage multiple concurrent activities.
  • Possess effective verbal, presentation, and written communication skills, including the ability to present results to different levels of leadership.