PacificSource Health Plans logo
PacificSource Health Plans

Putting members first since 1933.

Credentialing Manager

ManagerManagerFull TimeRemoteSeniorTeam 1,001-5,000Since 1933H1B No SponsorCompany SiteLinkedIn

Location

South Carolina

Posted

2 days ago

Salary

$90.1K - $157.6K / year

Seniority

Senior

Bachelor Degree5 yrs expEnglish

Job Description

• Manage all provider credentialing, recredentialing, and document and related data management processes • Collaborate with provider partners, internal customers, and other external constituents • Supervise and provide guidance to assigned staff • Participate in hiring process • Train and evaluate team member performance • Develop annual budgets and monitor spending • Proactively work with other departments to improve interdepartmental processes • Employ lean methodologies for continuous improvement • Maintain and negotiate delegated credentialing agreements

Job Requirements

  • Minimum of five years health insurance experience
  • At least three years credentialing experience
  • Three years of experience managing teams in a health care environment
  • Bachelor's degree preferred
  • Knowledge of healthcare delivery, NCQA and HIPAA are essential
  • Attention to detail; ability to handle multiple tasks and prioritize effectively
  • Must show initiative in approaching projects and day-to-day work
  • Proficient in Word, Excel, Databases and credentialing software programs

Benefits

  • Flexible telecommute policy
  • Medical, vision, and dental insurance
  • Incentive program
  • Paid time off and holidays
  • 401(k) plan
  • Volunteer opportunities
  • Tuition reimbursement and training
  • Life insurance
  • Options such as a flexible spending account

Related Job Pages

More Manager Jobs

Nuvera logo

Life Science Consulting Manager – Hub Strategy

Nuvera

Hydrogen fuel cell power solutions for on- and off-road mobility and other applications.

Manager2 days ago
Full TimeRemoteTeam 5,001-10,000Since 2000

Life Science Consulting Manager leading client project strategies

New Jersey
$150K - $190K / year
F45 Training logo

Network Performance Manager

F45 Training

Team Training. Life Changing. FIT House of Brand franchising opportunities available globally. F45 Training, FS8, Vaura.

Manager2 days ago
Full TimeRemoteTeam 51-200Since 2012

Network Performance Manager supporting FS8/VAURA franchises.

United States
Elementl Power logo

Manager, Project Controls – Nuclear Energy

Elementl Power

Catalyzing the deployment of safe and affordable next-generation nuclear projects

Manager2 days ago
Full TimeRemoteTeam 11-50Since 2022

Manager, Project Controls overseeing nuclear energy project performance

Oracle
United States
$140K - $170K / year
Pinnacle Home Care logo

Clinical Manager – Home Health Care

Pinnacle Home Care

As Florida's largest independent home health provider, Pinnacle has proudly served our communities for over two decades.

Manager2 days ago
Full TimeRemoteTeam 1,001-5,000Since 2003

Clinical Manager leading home health care delivery team

Florida