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Ascension · 3 days ago
Senior Director, Credentials Verification Operations
United States
Full-time
Hybrid
Director
7+ years exp
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Responsibilities
Leads the integration of local market central verification services work into a National CVO.
Provides leadership, direction and strategic planning in collaboration with medical staff leaders to assure CVO Services are meeting the needs of medical staff governance and structures defined by the medical/dental staff bylaws are fulfilled across all ministries in the region.
Standardize, direct and track efficiency of primary source verification services, processes and policies that demonstrate compliance with the applicable laws, regulations and accreditation bodies and achieve key performance indicators for turnaround time. Ensures appropriate training and compliance is administered regarding all federal/state laws and healthcare accreditation/regulatory agencies.
Foster a culture of continuous improvement by regularly reviewing and evaluating processes. Identify areas for further alignment, process improvement, and address any gaps or deficiencies that arise. Encourage feedback from stakeholders and incorporate their insights into ongoing improvement efforts.
Provides expertise in the areas of primary source verification processes, credentialing, and re-credentialing of providers in alignment with URAC, NCQA and Joint Commission standards.
Skilled leading major process designs and re-designs to achieve turnaround time goals.
Sets strategy, goals and KPIs for the department.
Responsible for hiring, staffing, evaluating and performance management of the department.
Partners with key stakeholders on strategy and operations for collecting and maintaining provider data for system-wide business needs.
Demonstrated ability to coach and mentor individuals. Effective at leading remote teams.
Have worked in large companies, across multiple markets. Can demonstrate understanding of working in complex organizations and bringing people together to develop processes.
Qualification
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Required
High School diploma equivalency with 5 years of applicable cumulative job specific experience required, with 2 of those years being in leadership/management OR Associate's degree/Bachelor's degree with 3 years of applicable cumulative job specific experience required, with 2 of those years being in leadership/management.
Preferred
7 years of work experience, preferred.
5 years of leadership or management experience, preferred.
10 years of Credentials Verification Operations experience, preferred.
Strong data analytics skill set, preferred
Bachelor’s degree or Master’s degree, preferred.
Process engineers or Six Sigma, Lean training, preferred.
Must be creative, agile, innovative, strategic, ability to organize and delegate, problem-solver, team player, flexible, have an understanding of technical demands and have a growth mindset.
Benefits
Paid time off (PTO)
Various health insurance options & wellness plans
Retirement benefits including employer match plans
Long-term & short-term disability
Employee assistance programs (EAP)
Parental leave & adoption assistance
Tuition reimbursement
Ways to give back to your community
Company
Ascension
Ascension (www.ascension.org) is a faith-based healthcare organization dedicated to transformation through innovation across the continuum of care.
10,001+ employees
H1B Sponsorship
Ascension has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Trends of Total Sponsorships
2022 (4)
Funding
Current Stage
Late StageLeadership Team
Kramer Schmidt
Vice President, Consumer Product Dates Employed
Alberto Hoyos
Chief of Thoracic Surgery and Director of Thoracic Oncology
Recent News
2022-09-21
Modern Healthcare
2022-09-03
Business Journals
2022-06-27
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