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Sheppard Pratt · 5 days ago

Practice Association Credentialing Manager - Towson, MD

Towson, MD

Full-time

Onsite

Entry, Mid Level

$52K/yr - $81K/yr

2+ years exp

Sheppard Pratt is a community of healthcare professionals dedicated to providing hope and healing. The Credentialing Manager is responsible for overseeing the complete credentialing and privilege process for all clinicians, ensuring accuracy and compliance while leading credentialing operations and coordinating with various stakeholders.

CharityEducationHealth CareNon ProfitSpecial Education

Responsibilities

Manage end-to-end credentialing and recredentialing processes, ensuring compliance with Joint Commission, State, CARF, NCQA, and CMS requirements

Maintain and optimize the ECHO credentialing database; track and coordinate expiring licenses, certifications, and insurance documents

Prepare complete credentialing files for Credentialing Committee, Medical Executive Committee, and Board of Trustees review

Develop, update, and implement credentialing policies and procedures

Resolve credentialing and privileging issues and conduct routine audits for accuracy and compliance

Provide administrative and data support for Medical Staff operations and delegated managed care audits

Communicate credentialing status and updates to clinicians, Program Directors, Administrators, and other stakeholders

Supervise, train, and evaluate credentialing staff

Qualification

Credentialing processesRegulatory complianceECHO credentialing databaseBehavioral health knowledgeProject managementExcel proficiencyWord proficiencyVerbal communicationWritten communicationOrganizational skillsProblem-solving skills

Required

High school diploma with 2-3 years of administrative experience required

Knowledge of behavioral health credentialing processes

Familiarity with TJC and NCQA requirements

Strong verbal/written communication skills

Proficiency in Excel, Word, and credentialing systems

Strong organizational skills

Strong project-management skills

Strong problem-solving skills

Ability to manage high-volume deadline-driven workflows

Preferred

Bachelor's degree

Healthcare experience

ECHO credentialing system familiarity

Benefits

A commitment to professional development, including a comprehensive tuition reimbursement program to support ongoing education and licensure and/or certification preparation

Free clinical supervision to those working towards licensure

Licensing and certification preparation assistance

Comprehensive medical, dental and vision benefits for benefit eligible positions

403b retirement match

Generous paid-time-off for benefit eligible positions

Complimentary Employee Assistance Program (EAP)

Grand rounds, CME opportunities, and on-site lectures

Cross-discipline collaboration