Associate Director - Credentialing and Network Compliance

October 13

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Spring Health

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Healthcare • Artificial Intelligence • Mental Illness • Treatment Selection • Benefits

501 - 1000 employees

⚕️ Healthcare Insurance

🧘 Wellness

☁️ SaaS

Description

• Oversee all aspects of credentialing of practitioners in alignment with standards. • Manage and ensure quality related to credentialing operations. • Work cross-functionally to pull and analyze reports on credentialing data. • Act as Subject Matter Expert for credentialing processes and systems. • Establish, implement, and monitor performance goals for the Credentialing department. • Lead the implementation of new credentialing tools and systems to enhance efficiency. • Oversee provider enrollment processes for timely and accurate applications. • Conduct regular audits to ensure accuracy of provider information in databases. • Collaborate with RCM team for up-to-date credentialing and enrollment statuses. • Provide leadership and development opportunities to the credentialing team.

Requirements

• Minimum of 7 years of experience in a quality-focused role in healthcare, with a strong emphasis on provider credentialing. • Demonstrated experience in developing policy and procedure documentation. • Knowledge of NCQA Accreditation requirements with experience leading accreditation and regulatory site surveys. • Knowledge of medical credentialing and privileging procedures and standards. • Experience in project management and partnering with cross-functional teams. • Data-driven and analytical skills in gathering, analyzing, and interpreting data. • Excellent oral and written communication skills. • A thoughtful and collaborative approach to problem-solving. • Humility, resourcefulness, empathy, and professionalism. • Passion for, and understanding of, mental health and the U.S. healthcare system.

Benefits

• Health, Dental, Vision benefits start on your first day at Spring Health. • Individual One Medical account valued at $199/year per user. HSA and FSA plans available. • A yearly allotment of no cost visits to the Spring Health network of therapists, coaches, and medication management providers for you and your dependents. • 10 allocated sick days per year. • Flexible paid time off in addition to 12 paid holidays throughout the year. • Access to Gympass, an on-demand virtual benefit that provides wellbeing coaching, and budget management. • Four-week fully paid sabbatical leave after four years of service. • 4-4.5 months of fully paid parental leave. • Sponsored access to Bright Horizons® child care, back-up care, and elder care. • Access to fertility care support with $4,000 reimbursement for related expenses. • 401(k) match of up to 2% after 90 days of employment. • Up to $1,000 Professional Development Reimbursement per calendar year. • $200 per year donation matching to support your favorite causes.