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SalaryManager, Central Verification Office
Position Highlights:
- Position: Manager, Central Verification Office
- Location: Skokie, IL
- Full Time
- Hours: Monday-Friday, 8:30am – 5pm
- Required Travel: N/A
Job Summary:
Frontline management of staff and operations of the Endeavor Health Central Verification Office (CVO). Develops, educates, manages, and monitors the processes and procedures that support credentialing, enrollment, credentialing, expiable data, database integrity and delegated credentialing processes. Oversees all the credentialing functions including application management and primary source verification. Ensures compliance with the appropriate accreditation and regulatory agencies. Daily management of the credentialing staff, assigns work, monitors deadlines, applications, and turnaround times.
What you will do:
- Manages the CVO credentialing processes for all Endeavor Health System clinical providers, in accordance with the TJC, CMS, NCQA, DNV, state and federal laws and system policies.
- Manages the credentialing database and associated modules, ensuring accuracy of data, and reporting to downstream systems. Monitors critical data for extensive analysis and report generation.
- Monitors and reports turnaround times for processing of credentials applications, with focus on delivery of a high-quality product with greatest efficiency, in the least amount of time.
- Prepares for and coordinates credentialing audits in compliance with managed care delegated contract requirements and NCQA audit compliance.
- Oversees the supervision of personnel, which includes work allocation, training, promotion, enforcement of internal procedures and controls, and problem resolution; Evaluates performance and makes recommendations for personnel actions; motivates employees to achieve peak productivity and performance.
- Represents the CVO to internal and external customers. Problem solves and manages issues as they arise.
What you will need:
- Education: Bachelor’s Degree
- Certification: National Association of Medical Staff Services Certification (NAMSS) in:
- Certified Provider Medical Services Management (CPMSM) and/or
- Certified Provider Credentials Specialist (CPCS)
- Certification is required within three years of hire. Maintenance of Certification is required.
- Experience: 7 years of experience in Credentialing in addition to prior management experience.
- Unique or Preferred Skills:
- Ability to make administrative/procedural decisions and judgements.
- Ability to investigate and analyze information and draw conclusions.
- Ability to process computer data, format and generate reports.
- Ability to develop, supervise and train employees, including organizing, prioritizing, and scheduling work assignments.
- Ability to communicate effectively, both orally and in writing.
- Ability to foster a cooperative working environment.
- Ability to manage in a team environment.
- Ability to multitask, manage multiple priories, customers, and deadlines.
- Strong interpersonal and communication skills and the ability to work effectively with a wide range of constituencies in a diverse community.
- Skill in developing policy and procedure documentation and training tools.
- Knowledge of related accreditation and regulatory certification requirements.
- Knowledge of medical credentialing, provider privileging and standards.
- Knowledge of Bylaws, policies and regulations of Endeavor hospitals and legal environment in which they operate.
Benefits:
- Career Pathways to Promote Professional Growth and Development
- Various Medical, Dental, Pet and Vision options
- Tuition Reimbursement
- Free Parking
- Wellness Program Savings Plan
- Health Savings Account Options
- Retirement Options with Company Match
- Paid Time Off and Holiday Pay
- Community Involvement Opportunities
Endeavor Health is a fully integrated healthcare delivery system committed to providing access to quality, vibrant, community-connected care, serving an area of more than 4.2 million residents across six northeast Illinois counties. Our more than 25,000 team members and more than 6,000 physicians aim to deliver transformative patient experiences and expert care close to home across more than 300 ambulatory locations and eight acute care hospitals – Edward (Naperville), Elmhurst, Evanston, Glenbrook (Glenview), Highland Park, Northwest Community (Arlington Heights) Skokie and Swedish (Chicago) – all recognized as Magnet hospitals for nursing excellence. For more information, visit
www.endeavorhealth.org
. When you work for Endeavor Health, you will be part of an organization that encourages its employees to achieve career goals and maximize their professional potential.
Please explore our website (
www.endeavorhealth.org
) to better understand how Endeavor Health delivers on its mission to “help everyone in our communities be their best”. Endeavor Health is committed to working with and providing reasonable accommodation to individuals with disabilities. Please refer to the main career page for more information.
Diversity, equity and inclusion is at the core of who we are; being there for our patients and each other with compassion, respect and empathy. We believe that our strength resides in our differences and in connecting our best to provide community-connected healthcare for all.
EOE: Race/Color/Sex/Sexual Orientation/ Gender Identity/Religion/National Origin/Disability/Vets, VEVRRA Federal Contractor.
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