Manager, Provider Credentialing Operations

5 days ago

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Logo of CareSource

CareSource

CareSource is a health services company focused on providing affordable health insurance and healthcare solutions. It offers a wide range of plans including Medicaid, Marketplace, and Medicare Advantage, targeting low-income adults, families, children, pregnant women, elderly adults, and people with disabilities. Additionally, CareSource provides members with resources for COVID-19 support, dental, vision, and hearing benefits, as well as pharmacy services. The company emphasizes easy access to healthcare management through online platforms and a mobile app.

Medicaid • MyCare Ohio • Health Insurance Marketplace • Medicare Advantage • Health Insurance

1001 - 5000 employees

Founded 30+ years

⚕️ Healthcare Insurance

📋 Description

• Manage and lead a team of credentialing specialists • Design and implement credentialing policies, workflows, and procedures • Lead projects related to provider credentialing operations • Monitor the credentialing process • Work closely with departments for smooth implementation • Develop and deliver training programs • Prepare and present regular reports • Evaluate and recommend improvements to credentialing process

🎯 Requirements

• Bachelor’s degree in Healthcare Administration, Business Administration, or related field • Five (5) years of experience in managing credentialing operations • Previous leadership experience • Experience with credentialing software systems • Experience with provider data application within Cognizant Facets system

🏖️ Benefits

• Comprehensive total rewards package • Possible bonus tied to company and individual performance

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