Credentialing Manager
Carbon Health
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Posted on Jul 19, 2024
As a physician-founded and led organization, ensuring everyone has access to quality healthcare is what inspires us. That’s why we hire people who genuinely care about patients, solving healthcare challenges, and making a positive impact every day. Join us and help change the future of healthcare for the better.
• 120+ locations and growing, along with vast virtual coverage
• 1 million+ patients to-date
• 2,000+ caring clinicians and support staff serving their communities
• Backed by investors such as CVS Health Ventures and Blackstone Horizon
In this role at Carbon Health you will have direct oversight of all areas of credentialing for our clinical teams as well as credentialing software. As Carbon Health grows, your team will as well, and your management skills will be valuable to ensure your team has a strong leader.
What You'll Do
- Create and implement innovative processes and playbooks to ensure credentialing and clinician licensure are completed in a timely manner, an important and critical component for the success of our clinics
- Primary contact for NCQA and delegated credentialing agreements, leading the NCQA certification process and audits
- Ensure reports on credentialing status of providers is up to date and accurate
- Manage process of negotiating new insurance contracts as related to credentialing
- Manage update to date information regarding fee schedules
About You
- Bachelor’s Degree
- 5+ years of experience in medical insurance credentialing and payer enrollment
- Evident leadership and people management experience in a remote environment
- Ability to conduct executive communication and relationship management with internal and external stakeholders that represents the company well
- Strong NCQA experience, as well as credentialing software and workflow creation experience
- Certifications: NAMSS: Certification of National Association of Medical Staff Services, CPMSM: Certification as a Certified Professional Medical Services Manager, or CPCS: Certified Provider Credentials Specialist (preferred)
Perks
• Forward-thinking, transparent, and inclusive company culture
• Competitive salary, generous paid time off, learning time off, and paid holidays
• Comprehensive benefits package including medical, dental & vision insurance
• 401k employee contributions, FSA, HSA, and dependent care options
• Employee referral bonus program, employee resource groups, and professional development
• All benefits dependent on role and eligibility
All candidate email communication will be done through an @carbonhealth.com email address. If you ever receive communication regarding a job posting from an entity that does not match that or seems concerning, please contact people@carbonhealth.com.
Carbon Health is a leading national healthcare provider with a mission to make high-quality healthcare accessible to everyone. We offer primary and urgent care to nearly two-thirds of the U.S. Leveraging our unique technology platform, we meet patients where they are by delivering care across a variety of access points, including in-person clinics and virtual care. Carbon Health also focuses on value-based care and other value-add services to employers, health plans, health systems and other ecosystem partners.
We recognize that the key to success lies in valuing the minds, experiences and perspectives of people from all walks of life. Carbon Health is proud to value diversity and be an equal opportunity employer. Pursuant to the San Francisco Fair Chance Ordinance and the Los Angeles Fair Chance Initiative for Hiring, we will consider for employment qualified applicants with arrest and conviction records. Carbon Health is an E-Verify employer.
This job is no longer accepting applications
See open jobs at Carbon Health.See open jobs similar to "Credentialing Manager" Homebrew.