Credentialing Manager

The GW Medical Faculty Associates (MFA) was incorporated in July 2000 as a not-for-profit, physician-led practice group. The organization functioned as an independent organization in support of The George Washington University School of Medicine and Sciences as a multi-specialty physician practice group. The GW MFA has grown to become the largest independent academic physician practice in the Washington, DC metro region with 375 physicians and 100 APP providers. In 2018, the MFA bylaws were revised to allow The George Washington University to serve as the sole corporate member while the MFA retained independent 501c3 status. The purpose of the change was to ensure alignment between the MFA and The George Washington University.
MFA physicians provide comprehensive patient care, offering one practice for the whole person with 52 medical and surgical specialties. As members of the GW School of Medicine and Health Sciences faculty, MFA providers are teachers and mentors for medical students, residents, fellows, and researchers preserving the rich tradition of academics, research, and healing. In addition to maintaining a closely integrated alliance with The George Washington University and The George Washington University Hospital (GWUH) which is separately owned and operated by Universal Health Services (UHS), the GW MFA has active referring relationships with 12 area hospitals.
The GW MFA's leading healthcare presence in the DC metro region is complemented by a network of community-based practices in DC, Maryland, and Virginia. Given its geographic location in central NW Washington, DC, and proximity to more than 175 resident embassies, the MFA continues to evolve its international clinical outreach.
Position Summary
To plan and administer the day-to-day credentialing services of the MFA to ensure compliance with regulatory agency requirements and University and MFA policies and procedures.
Essential Duties and Responsibilities
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Other duties may be assigned.

• Plan, establish, and administer procedures for conducting daily MFA credentialing services by the director's policy guidelines and overall needs of the MFA; coordinate multiple projects;
• Oversee team productivity and workloads; rebalance or adjust work priorities and business needs dictate; prioritize workflow and ensure deadlines are met
• Serve as the primary resource for faculty, departments, the MFA Business Office, and healthcare plans regarding MFA credentialing services
• Review and process all healthcare plan applications to include interaction with physicians and departments to assure compliance with healthcare plan credentialing requirements
• Coordinate the acquisition of temporary and permanent hospital privileges for MFA medical physician faculty and non-faculty providers with The George Washington University Hospital; coordinate the acquisition of temporary and permanent MFA privileges with the MFA Credentials Committee
• Administer all healthcare plan re-credentialing projects for faculty and non-faculty providers through completion to include, but not limited to, interaction with providers, departments, and healthcare plans; updating information in the database and file documents; providing up-to-date credentialing and application information on a summary/status form for each application; tracking project progress; providing status reports to the MFA departments; and preparing applications and reports for presentation and approval by the leadership.
• Plan and coordinate the collection of copies of renewed licenses for all faculty and non-faculty providers including District of Columbia/state licenses to practice; federal DEA licenses and District of Columbia/state-controlled substance certificates; coordinates renewal of liability insurance certificates with MFA departments and the Risk Management.
• Monitor faculty and no-faculty provider resignations and ensure that their status is transferred to inactive
• Review and implement all faculty and non-faculty provider requests for reactivation from inactive status; coordinate provider reactivation and/or reapplication with the healthcare plan as necessary
• Ensure the accuracy and integrity of current files and databases; coordinate filling of credentials and documents into individual faculty and non-faculty provider files; coordinate updating the database with changes of address, status, and other information
• Coordinate, monitor, and submit payor audits as required by delegating agreements;
• Prepare monthly reports for key stakeholders reflecting the status of credentialing activities.
• Perform other work-related duties as required.

• A Bachelor's degree in an appropriate field or an equivalent combination of training and experience.

• A minimum of 3 years of experience within a managed care/healthcare environment, including 2 years of experience involving the credentialing/re-credentialing of healthcare providers.

• Walk, bend, twist, and reach above the shoulder frequently in an office setting.
• Must be able to occasionally lift or carry and frequently push or pull up to 20 lbs. as part of the role
• Regularly exposed to healthcare settings that may require personal protective equipment
• Requires manual dexterity to operate a computer keyboard, calculator, copier machine, and other equipment.