Description

Introduction

Are you passionate about the patient experience? At Methodist Healthcare, we are committed to caring for patients with purpose and integrity. We care like family! Jump-start your career as a Credentialing Manager today with Methodist Healthcare.

Benefits

Methodist Healthcare, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.

• Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.

• Free counseling services and resources for emotional, physical and financial wellbeing

• 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)

• Employee Stock Purchase Plan with 10% off HCA Healthcare stock

• Family support through fertility and family building benefits with Progyny and adoption assistance.

• Referral services for child, elder and pet care, home and auto repair, event planning and more

• Consumer discounts through Abenity and Consumer Discounts

• Retirement readiness, rollover assistance services and preferred banking partnerships

• Education assistance (tuition, student loan, certification support, dependent scholarships)

• Colleague recognition program

• Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)

• Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

Learn more about Employee Benefits (https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards)

Note: Eligibility for benefits may vary by location.

Job Summary and Qualifications:

The Credentialing Manager is responsible for developing and implementing plans for data collection, analysis, and reporting of medical staff credentialing activities across the Division to include coordination of Methodist/Corporate activities related to credentialing.

Essential Job Functions:

1. Develops, implements, and evaluates division wide standardization, utilization, integration and optimization activities related to Medical Staff Credentialing applications and tools by collaborating with Division and Market ITG teams to include Application Development, Physician Services Support and Advanced Clinical Applications.

2. Development, execution, and support of education plan, tools and resources division wide related to Credentialing functions and maintains direct responsibility for all tracked expiry dates ensuring providers maintain their required credentials to exercise their clinical privileges within affiliated Hospitals.

3. Manages Medical Staff Managers and/or assigned staff to include interviewing, work allocation, orientation, training, staff development, problem resolution, evaluating performance, making recommendations for personnel actions, and motivating employees to achieve peak performance. Is responsible for their employee’s output and conduct.

4. Facilitation and project leadership of credentialing systems at the facility, division and market level.

5. Works directly with Legal, Senior Leaders, Medical Staff and Board Members to resolve complex issues and requests escalated from the facility, division or market related to Credentialing questions. Acts as designee of MHS Division Director of Medical Staff Services, as assigned, or in the absence of, and works with legal counsel on items related to Medical Staff Bylaws, governance, policies, credentialing, physician health/behavior and/or peer review

6. Serves as a resource and subject matter expert to the medical staff and administration on performance improvement strategies related to Medical Staff Credentialing and Privileging.

7. Oversees the day to day functions of the facility based credentialing duties as well as the consolidation of the Credentialing reports presented to the Community Board for approval and resolves issues related to non-compliance. If items are not able to be resolved locally she escalates these issues to the MHS Division Director of Medical Staff Services for resolution.

Additional Job Functions:

1. Supports the mission and vision of the Methodist Healthcare System. Understands and is committed to helping the Methodist Healthcare System and its associated facilities achieve its goals.

2. Must learn and comply with System and facility safety policies and rules; must use appropriate safety equipment and procedures at all times; must immediately report all unsafe conditions to supervisors; must be familiar with all safety features of equipment, tools or materials encompassed by job duties; and must check with supervisors (prior to job performance) if there is a question as to the safe procedure to be used for any job function.

3. Adheres to the MHS Code of Conduct and demonstrates ethical behavior as expected by our patients, colleagues and the community. Understands the personal obligation to report any activity that appears to violate applicable laws, rules regulations or the Code of Conduct itself.

4. Completes other duties as assigned.

What qualifications you will need:

Education: Bachelor’s degree in Business, Health Care Administration, or related field

Experience: 5 years of progressively responsible experience in hospital and/or healthcare credentialing.

Preferred Experience: 2 years management and/or supervisory experience

Minimum License, Certificates, or Registrations Required:

Required: Certified Professional Medical Services Management (CPMSM) or Certified Provider Credentialing Specialist (CPCS) or able to obtain such within 12 months of job acceptance.

"The great hospitals will always put the patient and the patient's family first, and the really great institutions will provide care with warmth, compassion, and dignity for the individual."- Dr. Thomas Frist, Sr.

HCA Healthcare Co-Founder

If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Credentialing Manager opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. Unlock the possibilities and apply today!

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.