Supv Credentialing
Qualifications
· Bachelor’s degree in a related field of study; or, an equivalent combination of education and/or experience.
· Three (3) years of work experience directly related position; experience must include responsibility for medical credentialing regulations, procedures and standards.
· Supervises Credentialing staff, including manage day to day operation, performance evaluation and training employees.
· Strong knowledge of NCQA accreditation standards desirable
· Must have effective communication skills with external and internal sources to verify or clarify potentially sensitive information pertinent to the application and credentialing process with minimal guidance from manager.
· Must have full knowledge of files review to meet all state and federal guidelines.
· Planning projects distribution, assigning, and directing work to the credentialing team.
· Demonstrated knowledge of and familiarity with accreditation and certification requirements Demonstrated.
· Experience and proven ability in a leadership role.
· Excellent verbal, written and interpersonal communication skills.
· Proficiency in computer and software programs (e.g., Microsoft Word, Excel, Access, CAQH, HC3, CPR, Power Point).
· Proven experience in policy development and procedure documentation.
· Ability to make independent effective administrative and procedural decisions.
Diversity, Equity, and Inclusion
At Independence, everyone can feel valued, supported, and comfortable to be themselves. Our commitment to equity means that all associates have a fair opportunity to achieve their full potential. We put these principles into action every day by acting with integrity and respect. We stand together to speak out against injustice and to break down barriers to support a more inclusive and equitable workplace. Celebrating and embracing the diverse thoughts and perspectives that make up our workforce means our company is more vibrant, innovative, and better able to support the people and communities we serve.
About Our Company
Serving more than 8 million people nationwide, including 2.5 million in southeastern Pennsylvania, Independence Health Group — together with its subsidiaries — is the leading health insurance organization in the Philadelphia region. Our mission to build healthier lives for you, your family, and your employees shapes our actions and decisions every day.
At Independence, we see each of our members as an individual, with unique needs and concerns. We’re dedicated to harnessing the very latest ideas and technologies to deliver access to care that meets those needs and surpasses your expectations. For more information about Independence access our website at www.ibx.com. We’re revolutionizing health care, and our focus is on you!
Equal Employment Opportunity
Independence Blue Cross is an Equal Opportunity and Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability.
Agency Disclaimer
All resumes submitted directly to an Independence Blue Cross employee from a vendor via email, the Internet or in any other form without a valid written search agreement in place for this position from the Independence Blue Cross Family of Companies Human Resources Department will be deemed the sole property of Independence Blue Cross and the Independence Blue Cross Family of Companies. Please note that no fee will be paid in the event the candidate is hired by Independence Blue Cross or the Independence Blue Cross Family of Companies as a result of the referral or through means other than our established process.