Credentialing Supervisor
OneOncology is positioning community oncologists to drive the future of medical care through a patient-centric, physician-driven, and technology-powered model to help improve the lives of everyone living with cancer and other diseases. Our team is bringing together leaders to the market place to help drive OneOncology’s mission and vision. Why join us? This is an exciting time to join OneOncology. Our values-driven culture reflects our startup enthusiasm supported by industry leaders in oncology, urology, technology, and finance. We are looking for talented and highly-motivated individuals who demonstrate a natural desire to improve and build new processes that support the meaningful work of independent physicians and the patients they serve. Job Description: The Credentialing Supervisor will report to OneOncology’s Credentialing Manager and is responsible for supervising and leading the day-to-day activity and workflow of assigned credentialing team members and partner practices. The Supervisor is responsible for oversight of credentialing, re-credentialing, and privileging processes for health care providers while complying with state and federal standards. Maintaining up-to-date data in credentialing databases, electronic systems and hard copy files as well as tracking and managing provider licenses, certifications, etc.
Responsibilities
Supervise and lead a team of credentialing specialists to ensure timely and accurate processing of credentialing applications and payer enrollments. Directly performing enrollment, credentialing, and license application/renewal functions as needed. Support enterprise in technology to advance efficiency, accuracy, and timeliness of credentialing function(s). Assist in the development and maintenance of policies and procedures related to the credentialing and enrollment processes, ensuring compliance with all regulatory and accreditation requirements. Facilitate or co-facilitate any process improvement events. Assist manager in hiring and other various projects and departmental issues as needed. Other tasks as assigned. Key Competencies Experience working with NCQA criteria and 3rd party payer regulations. Experience with completing hospital credentialing applications. Excellent written and verbal communication skills. Participated in implementation of credentialing software tools. Recent or current hands-on experience in credentialing activities. Ability to manage multiple complex projects at the same time. Data aggregation and analysis.
Qualifications
Bachelor’s degree preferred, or equivalent experience. 2 years Supervisory experience required, preferably in a credentialing/enrollment environment. 5 years Credentialing/Enrollment experience required. Experience working in credentialing software systems. Training experience preferred but not required. CPCS/CPMSM Certification preferred but not required. Working remote with travel flexibility as needed #LI-HD1 #LI-REMOTE