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Director of Credentialing & Verification Office - Clinical Affairs

Company: The University of Kansas Health System
Location: Kansas City
Posted on: March 20, 2023

Job Description:

Director of Credentialing & Verification Office - Clinical Affairs page is loaded Director of Credentialing & Verification Office - Clinical Affairs Apply locations Kansas City, KS time type Full time posted on Posted 2 Days Ago job requisition id R-24237 Position Title Director of Credentialing & Verification Office - Clinical AffairsWescoe Pavilion C COVID-19 and flu vaccines are required for all health system employees. Learn more . Position Summary / Career Interest:The Director of Credentialing and Verification Office is a system leadership position responsible for leading and managing enterprise-wide verification, credentialing, and oversight of medical staff office capabilities. The Director will be responsible to standardize the verification and credentialing processes across the organization as well as create a structure for consistent OPPE/FPPE to occur at each site. The Director will have oversight of the Medical Staff Office Coordinators/Managers to ensure each medical staff is provided the level of support necessary.Responsibilities:

  • Reports to the Associate Chief Medical Officer in the Clinical Affairs Department
  • Responsible for creation and continuous improvement of a centralized verification organization function, enabling all TUKHS to initiate a common application
  • Oversees and leads enterprise-level verification function for credentialing process including primary source verification, application management, initiating data gathering for provider enrollment, and performing ongoing monitoring of sanctions and expirables.
  • Act as enterprise process leader for provider credentialing and business owner for credentialing system/platform
  • Responsible for continuous improvement in provider credentialing processes and overlapping processes such as provider enrollment, onboarding, and OPPE
  • Develops and monitors key performance indicators and metrics to assess provider credentialing and enrollment effectiveness, efficiency and compliance
  • Leads one or more medical staff office managers and their teams
  • Oversees the initial credentialing and re-credentialing of all providers
  • Ensures that all licensures and other required certificates are up to date and filed in the provider's credentialing file
  • Provides support for the Medical Staff Office capabilities including but not limited to, Medical Staff Executive Committees, Medical Staff meetings, Department meetings and miscellaneous Medical Staff committees JOB REQUIREMENTSRequired
    • Bachelor's degree in a related field (healthcare management, business administration, etc)
    • Certified Provider Credentialing Specialist (CPCS)
    • 5 years experience in healthcare with specific experience in medical staff office affairs, credentialing, or provider services
    • Experience with delegated credentialing
    • Experience leading and managing direct reports, preferably in a production-related management role
    • Understanding of accreditation and regulatory standards related to medical staff functions (Joint Commission, CIHQ, etc)
    • Experience with provider enrollment process
    • Ability to establish and maintain effective working relationships with all levels of health system staff
    • Excellent interpersonal and communication skills
    • Must have strong presentation and leadership skills
    • Strong PC skills (Word, Excel, Outlook, PowerPoint, Visio, teams or equivalent) Preferred
      • Master's Degree in related field
      • 2 years of medical staff office administrative management Time Type:Full timeJob Requisition ID:R-24237 We are an equal employment opportunity employer without regard to a person's race, color, religion, sex (including pregnancy, gender identity and sexual orientation), national origin, ancestry, age (40 or older), disability, veteran status or genetic information. Need help finding the right job?We can recommend jobs specifically for you! Create a custom Job Alert by selecting criteria that suit your career interests. About Us COVID-19 and flu vaccines are required for all health system employees. Learn more . Notice: If you are a Current Employee or Contract Worker, please log into Workday to search for and apply to jobs using the Career application or by searching "Find Jobs". Your application, if submitted using this portal, cannot be moved forward. About The University of Kansas Health System As part of the region's premier academic medical center, The University of Kansas Health System in Kansas City is a world-class healthcare provider and destination for complex care and diagnosis. We are driven by our commitment to service, continuous improvement and to the highest degree of excellence. Collaboration between physicians, nurses, researchers, educators and other professionals who share their expertise leads to exciting discoveries and life-changing treatments for the people we serve.

Keywords: The University of Kansas Health System, Kansas City , Director of Credentialing & Verification Office - Clinical Affairs, Executive , Kansas City, Kansas

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