Scottish Rite for Children
Managed Care Credentialing Coordinator
Dallas, TX
Sponsorship not specifiedDetected 13 days ago
StatisticsProcurementLeadershipCommunicationProblem SolvingMicrosoft Office
About the role
- Our patients are our number one priority!
- We're committed to giving children back their childhood!
Responsibilities
- Maintain reporting and communication with hospital leadership as to credentialing status of hospital, physician staff, and advanced practice professionals
- Develop, maintain, and apply working knowledge of relevant federal and state laws and regulations and accreditation standards/agencies and other regulatory requirements (i.e., NCQA)
- Support the General Counsel in handling of legal matters for Scottish Rite, assist with special projects and help maintain files in the Office of General Counsel
- Provide professional support to the management staff in partnership with other support staff
Requirements
- High school diploma or equivalent required
- Associate degree preferred
- Otherwise, certification must be obtained within 2 years of hire or 2 years of eligibility per NAMSS requirements, as applicable
Compensation
- Develop annual goals and objectives for the Managed Care Credentialing function in concert with the organization's strategic plan
Benefits
- Minimum 2 years of Medical Staff or Managed Care Credentialing Coordinator experience; in a hospital, clinic, or health plan setting is preferred
- Certification through the National Association of Medical Staff Services (NAMSS) as a Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Staff Management (CPMSM upon hire is preferred.
- Proficient in computer applications (e.g., Windows, Microsoft Office, internet browsers, medical staff/credentialing software databases, etc.)
- Knowledge of standards in managed care credentialing practiced, health plan credentialing requirements, statistics, data collection, analysis and data presentation
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This listing is sourced directly from Scottish Rite for Children's careers page and normalized into a canonical job model.