• Job Description

  Req#: 4428

  Credentialing Manager- CCL

  Boca Raton, FL, USA ● Virtual Req #4428

  Tuesday, June 25, 2024

  Cross Country is looking for top talent to join our team! Cross Country is a market-leading, tech-enabled workforce solutions and advisory firm with more than four decades of industry experience and insight helping clients tackle complex labor-related challenges. Diversity, equality, and inclusion are at the heart of the organization’s overall corporate social responsibility program as t is closely aligned with our core values to create a better future for its people, communities, and stockholders. Most recently named one of the ‘Top Places to Work’ by US News and World Report, and a Most Loved Workplace by Newsweek Magazine, Cross Country is committed to excellence in delivery of its services and was the first public company to earn The Joint Commission Gold Seal of Approval® for Health Care Staffing Services Certification with Distinction.

  BASIC PURPOSE:

  Responsible for the oversight of the team providing the credentialing process for all healthcare providers within the organization and to external clients. Manages team workflows, interacts with internal and external clients, and as well provides reporting to leadership. Continues to work as a “player/coach” to support team and company goals. Individual works with industry standards from a variety of organizations and federal/state regulatory bodies and follows all CCH HR processes for employee management/review.

  ESSENTIAL FUNCTIONS:

  • Management of all reporting team members, including but not limited to HR oversight including review, payroll, and disciplinary actions.
  • Oversee and manage the credentialing and re-credentialing processes for all healthcare providers, ensuring compliance with regulatory standards and accreditation requirements.
  • Lead and mentor a team providing guidance, training, and performance evaluations.

  • Motivate staff toward the achievement of divisional/Company goals.

  • Oversight of all internal policies that affect team processes in coordination with the Compliance Team.
  • Become a subject matter expert (SME)/point person for internal and external client questions/needs.
  • Develop and implement policies and procedures related to credentialing and onboarding to ensure the team is meeting the needs of both internal and external clients.
  • Maintain and update credentialing databases, ensuring the accuracy and confidentiality of provider information.
  • Coordinate with various departments to ensure timely and accurate completion of credentialing activities.
  • Conduct primary source verification of credentials, including education, training, licensure, and board certification.
  • Monitor expiring credentials and ensure timely renewals to avoid lapses in provider approvals.
  • Prepare and present credentialing reports to leadership as required.
  • Stay current with industry standards, best practices, and regulatory requirements related to credentialing and privileging.
  • Address and resolve any issues or discrepancies related to provider credentials promptly.
  • Facilitate communication between providers, internal departments, and external agencies regarding credentialing matters.
  • Participate in audits and accreditation surveys, providing necessary documentation and support.
  • Other duties as assigned.

  QUALIFICATIONS:

  • Minimum of 5 years of experience in healthcare/staffing credentialing, with at least 2 years in a supervisory or managerial role.
  • Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services Management (CPMSM) certification or the ability to obtain such certification within two years of the hire date.
  • Comprehensive knowledge of credentialing standards, regulatory requirements, and accreditation processes (e.g., The Joint Commission, NCQA, CMS).
  • Strong leadership and team management skills, with a demonstrated ability to motivate and develop team members.
  • Ability to prioritize in a fast-paced environment, with conflicting deadlines.
  • Excellent organizational and time management skills, with the ability to manage multiple priorities and meet deadlines.
  • Ability to collaborate with all people/aspects of the business to achieve all goals.
  • Exceptional attention to detail and accuracy.
  • Strong analytical and problem-solving skills.
  • Strong written, phone, and customer service skills.
  • Work independently and have a strong commitment to being a team player.
  • Excellent interpersonal and communication skills via phone, email, and person-to-person.
  • Ability to communicate and work in a harmonious, respectful, supportive manner with all members of management, and other departments.

  Education: Bachelor’s degree preferred in business, healthcare, or other similar disciplines, or equivalent combination of education and sufficient experience to successfully perform the essential functions of the job.

  Company equipment(laptop, monitor, keyboard, mouse headset) will be provided directly to you for use during employment.
  
  Benefits
  
  Cross Country offers a competitive compensation, benefits, and wellness program, including Medical Insurance, Dental Insurance, Vision Insurance, Life Insurance, Disability Insurance, Voluntary Insurance, 401(k) plan, Tuition Assistance, and Pet Insurance. The company offers a variety of Wellness options through Burnalong, which offers a robust online platform of classes and programs as well as local gym access.
  
  Cross Country is an EEO employer - M/F/Veteran/Disability.
  
  #IND123

  Other details

  • Job Family Delivery Ops
  • Job Function NMGR
  • Pay Type Salary
  • Min Hiring Rate $62,000.00
  • Max Hiring Rate $65,000.00

  Apply Now

• About the company

  Cross Country Healthcare is a national leader with over 30 years experience in providing innovative and intuitive healthcare staffing and workforce solutions for client across the United States.

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