Medical Staff Credentialing Manager jobs in Maryland

Medical Staff Credentialing Manager manages staff that process credentialing and recredentialing applications for health care providers. Oversees department operations to ensure compliance with all regulatory standards. Being a Medical Staff Credentialing Manager implements policies and procedures to ensure that applications are properly verified and accurately uploaded into an online credentialing database system. Analyzes reports on applications and credentialing status to identify trends and improve the credentialing process. Additionally, Medical Staff Credentialing Manager prepares files for the credentialing committee and may act as a liaison to state medical licensure boards regarding the status of license applications. Requires a bachelor's degree. May require Certified Provider Credentialing Specialist (CPCS). Typically reports to a director. The Medical Staff Credentialing Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. To be a Medical Staff Credentialing Manager typically requires 5 years experience in the related area as an individual contributor. 1 - 3 years supervisory experience may be required. Extensive knowledge of the function and department processes. (Copyright 2024 Salary.com)

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Medical Staff Credentialing Specialist - Full-time with Benefits
  • Frederick Health
  • Frederick, MD FULL_TIME
  • Job Summary

     Handles the duties and operations of the medical staff office, ensuring compliance with standards set by the Joint Commission, NCQA, and other accrediting bodies related to medical staff services. Assists the Senior Medical Staff Credentialing Coordinators, who mainly handle the credentialing of medical staff and health professional affiliates.

    Supports and incorporates the Frederick Health (FH) mission, vision, core values, and customer service philosophy into job performance. Adheres to the FH Compliance Program, including all regulatory requirements and FH Standards of Behavior.

    Example of Essential Functions:

    - Manages aspects of onboarding medical students and medical staff job shadowing.

    - Researches, monitors, and updates non-staff provider licensure and OIG status.

    - Works with other departments to verify non-staff providers are not exempt from the Office of Inspector General and possess active medical licenses to order prescribed outpatient tests.

    - Works with Information Technology to update the medical provider dictionary with provider license expiration dates and office address changes.

    - Ensures accurate medical staff information is available to departments, committees, and the public as necessary.

    - Maintains a working knowledge of the Medical Staff Bylaws and medical staff policies to ensure compliance.

    - Attends medical staff and other meetings as necessary. Prepares agendas, materials, and minutes of meetings as required.

    - Monitors medical staff vaccine and mandatory CBL compliance.

    - Assists with communication of provider deficiencies and suspensions.

    - Assists with provider orientation and ID verification.

    - Assists with reconciling invoices, statements, and check requests. 

    Required Knowledge, Skills, and Abilities:

    - Interpersonal communication skills including adult learning methods and problem-solving; basic knowledge of medical terminology.

    - Ability to work independently, prioritize projects, and meet deadlines.

    - Strong organizational skills and the ability to manage multiple tasks. Ability to work professionally with a diverse population.

    - Ability to maintain a high level of confidentiality.

    - Ability to create, compose, and edit written materials.

     Minimum Education, Training, and Experience Required:

    - Proficiency in the use of software programs such as MS Word, Excel, and Outlook.

     

     

     

  • 6 Days Ago

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Credentialing Manager
  • MedVanta, LLC
  • Bethesda, MD FULL_TIME
  • Position Summary / Scope of Responsibility MedVanta is the nation's largest physician-owned and operated next generation management services organization (MSO). Our services are specifically designed ...
  • 16 Days Ago

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Credentialing Manager
  • MedVanta Interco, LLC.
  • Bethesda, MD FULL_TIME
  • Position Summary / Scope of Responsibility MedVanta is the nation's largest physician-owned and operated next generation management services organization (MSO). Our services are specifically designed ...
  • 18 Days Ago

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Manager - Provider Credentialing and Enrollment
  • Luminis Health
  • Annapolis, MD FULL_TIME
  • Position Objective: The Manager, Credentialing and Provider Enrollment provides Strategic Leadership to Luminis Health. Oversees the departmental operations, assuring the delivery of superior credenti...
  • Just Posted

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Medical Office Access Coordinator
  • The Staff Pad
  • Glen Burnie, MD FULL_TIME
  • Medical Office Access Coordinator will serve as the dedicated liaison for patient access improvements in a fast-paced, multi-disciplinary medical practice. Monitor and manage provider schedules, ensur...
  • Just Posted

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Certified Medical Assistant - $1k Sign On
  • The Staff Pad
  • Glen Burnie, MD FULL_TIME
  • Certified Medical Assistant - Back OfficeGlen Burnie, MDCompensation & Schedule:Full-time, 8 hour daysClinic Hours: 8a - 8p Most days will be 8a - 5p but must be able to work the occasional 11:30a - 8...
  • 1 Month Ago

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Project Manager
  • Lumen Workplace
  • Chicago, IL
  • Overview Lumen is searching for a candidate who will be responsible for direct oversight of client's construction projec...
  • 4/19/2024 12:00:00 AM

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Principal Consultant GP, OSPF and Switching Cisco, Network Segmentation and Isolation/NYC, NY 1 Year
  • Suncap Technology, Inc.
  • New York, NY
  • Location: NYC, NY US Citizen Required Experience: BGP, OSPF and Switching Cisco Network Segmentation and Isolation Virtu...
  • 4/18/2024 12:00:00 AM

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Case Manager
  • Opex Solutions Inc
  • Smyrna, TN
  • Job Description Job Description Benefits: Bonus based on performance Tuition assistance Education: RN, or LPN required E...
  • 4/18/2024 12:00:00 AM

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City Manager - Manassas, Virginia
  • Baker Tilly
  • Manassas, VA
  • Salary: $210,700.00 - $273,000.00 Annually Location : Manassas, VA Job Type: Full-Time Job Number: 00197 Job Classificat...
  • 4/17/2024 12:00:00 AM

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Administrative Liaison
  • Go Urgent Care, LLC
  • Mc Gregor, TX
  • SUMMARY DESCRIPTION: Under the direction of the facility manager and physician credentialing manager for the Emergency C...
  • 4/17/2024 12:00:00 AM

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Credentialing Manager
  • AMPP: Association for Materials Protection and Performance
  • Houston, TX
  • Job Description Job Description SUMMARY Oversight and responsibility for the administration, operations and customer exp...
  • 4/16/2024 12:00:00 AM

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Credentialing Administrative Assistant
  • Reliant Physicians PLLC
  • Las Vegas, NV
  • Job Description Job Description Job Summary: Under the direction of the Credentialing Manager, assist with credentialing...
  • 4/16/2024 12:00:00 AM

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City Manager - Amarillo, Texas
  • Baker Tilly
  • Amarillo, TX
  • Salary: $285,000.00 - $305,000.00 Annually Location : Amarillo, TX Job Type: Full-Time Job Number: 00214 Job Classificat...
  • 4/16/2024 12:00:00 AM

Maryland (US: /ˈmɛrələnd/ (listen) MERR-əl-ənd) is a state in the Mid-Atlantic region of the United States, bordering Virginia, West Virginia, and the District of Columbia to its south and west; Pennsylvania to its north; and Delaware to its east. The state's largest city is Baltimore, and its capital is Annapolis. Among its occasional nicknames are Old Line State, the Free State, and the Chesapeake Bay State. It is named after the English queen Henrietta Maria, known in England as Queen Mary. Sixteen of Maryland's twenty-three counties border the tidal waters of the Chesapeake Bay estuary and...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Staff Credentialing Manager jobs
$99,239 to $127,972

Medical Staff Credentialing Manager in Cedar Rapids, IA
Medical Staff Services Coordinator - Credentialing - Full-Time (40hrs/wk), Days - Corporate Services - Glendale, WI.
January 14, 2020
Medical Staff Credentialing Manager in Tampa, FL
Patient safety is the name of the game in credentialing.
January 25, 2020
Medical Staff Credentialing Manager in Nassau, NY
There are several reasons why a commercial payer, such as a managed care organization or health plan, may consider delegating all or part of its credentialing activities to qualified business partners such as IPAs, PHOs, CVOs, medical societies, even other health plans.
December 17, 2019