The Credentialing Director is responsible for overseeing all aspects of the credentialing/re-credentialing of practitioners in accordance with NCQA. Assure compliance with CMS, Clients and regulatory entities. The Director is responsible for annual quality improvement reports. Also responsible for preparation of materials submitted to the Credentials Committee monthly meetings for review of practitioners/providers with variances. Also responsible for pre-delegated and annual audits of all credentialing delegated entities. Train and mentor team members of the team. The Credentialing Director acts as a liaison between our company and ourProviders.. Additionally, the Credentialing Director will educate and effectively work with the credentialing team and clinicians to facilitate a seamless credentialing experience. The Credentialing Director is responsible for directing all activities related to credentialing operations and payer enrollment, and for the continued growth and development of the organization.
*Advance Health is an Equal Opportunity Employer*