Company: Oak Street Health
Title: Manager of Delegated Credentialing
Location: Remote; Treehouse
Role Description
The Delegated Credentialing Manager is responsible for supporting multiple specialty areas of business operations surrounding delegated credentialing, and will execute the strategic business plan as well as lead the day-to-day functions and staff, encompassing delegated provider oversight for diverse programs/projects. This position will work closely with our credentialing team to support implementation of delegated credentialing as well as the expansion, retention and compliance with our delegated contracts. This involves front end work with new providers and states, ongoing credentialing, and back-end handling of any upcoming license & malpractice renewals or provider terminations / transitions. The scope will include oversight of the credentialing process for our over 700 provider practice across 25 states and growing. The position will report to the Director of Credentialing.
Manages all aspects of the delegated credentialing process within their designated team to ensure accuracy, completeness, and timeliness of key credentialing activities.
Oversees the delegated credentialing process, from pre-delegation assessment to monthly file receipt and processing to annual audits
Ensures delegated credentialing program is compliant with the standards established by the National Committee for Quality Assurance (NCQA), the Centers for Medicare and Medicaid Services, and other regulatory agencies, as needed
Performs pre-delegated audits and annual assessment audits to ensure delegated entities are compliant with THP policies and procedures as well as all accreditation, regulatory, and governing entities
Prepares pre-delegated annual assessment audits including scheduling audits and sending pre and post audit letters and communications
Supports establishment of credentialing standards and analyzes workflows that promote best practices.
Champions innovation and implements performance management strategies as needed to optimize team member contributions
Direct managerial responsibilities including hiring, training, mentoring and coaching to all credentialing team members
Cultivates positive interpersonal relationships with internal and external clients, medical services professionals, practitioners, ancillary staff and senior management.
Collaborates with Director and other key staff on management of an ongoing credentialing performance improvement initiatives
Partners with the Director to develop and implement long and short-term goals for the designated team.
Provides support to the Director for interpretation, development, and implementation of all systems and functions to ensure continuous compliance with all regulations.
Perform administrative and other duties as assigned
What are we looking for?
A bachelor's degree or minimum 5 years' credentialing work experience.
2+ years in management/supervisory role.
Professional communication skills with both staff and executive levels
Attention to detail and strong organizational skills
Sense of urgency
Flexible and positive attitude
High level of integrity
Experience with CredentialStream/Verity preferred
Certified Provider Credentialing Specialist (CPCS) preferred
U.S. work authorization
Someone who embodies being 'Oaky'
What does being 'Oaky' look like?
Radiating positive energy
Assuming good intentions
Creating an unmatched patient experience
Driving clinical excellence
Taking ownership and delivering results
Being relentlessly determined
Why Oak Street Health?
Oak Street Health is on a mission to 'Rebuild healthcare as it should be'', providing personalized primary care for older adults on Medicare, with the goal of keeping patients healthy and living life to the fullest. Our innovative care model is centered right in our patient's communities and focused on the quality of care over the volume of services. We're an organization on the move! With over 150 locations and an ambitious growth trajectory, Oak Street Health is attracting and cultivating team members who embody 'Oaky' values and passion for our mission.
Oak Street Health Benefits:
Mission-focused career impacting change and measurably improving health outcomes for Medicare patients
Paid vacation, sick time, and investment/retirement 401K match options
Health insurance, vision, and dental benefits
Opportunities for leadership development and continuing education stipends
New centers and flexible work environments
Opportunities for high levels of responsibility and rapid advancement
Oak Street Health is an equal-opportunity employer. We embrace diversity and encourage all interested readers to apply.
Learn more at www.oakstreethealth.com/diversity-equity-and-inclusion-at-oak-street-health
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