Interim Director Provider Credentialing | Health Plans | NCQA Expertise Required | Healthcare System | Travel Assignment - One Location

Highly Competitive Pay | Lodging | Rental Car Or Mileage | Paid Flights Home | World-Class Support

ABOUT THIS OUTSTANDING INTERIM OPPORTUNITY

• 6+ month assignment
• Oversees the operations of the health plans credentialing team to develop, manage, and monitor processes and procedures that support the credentialing, re-credentialing, expirable, and delegated credentialing processes
• Responsible for physician credentialing processes for all in-house and network physicians.
• Participates in the development and review of Health Plan operating policies and procedures; develops, recommends, and/or implements changes, revisions, and enhancements as appropriate to the current operating environment
• Coordinates the management of the credentialing database and associated applications, ensuring the accuracy of data and reporting to downstream systems
• Directs the credentialing process for all managed NCQA and CMS accreditation standards, Federal and State Laws, and health system policies
• Ensures credentialing processes comply with plan requirements and standards, bylaws, state and federal requirements, and the appropriate accrediting and regulatory agencies.  
• Interacts with physicians, health plans, and hospitals to resolve credentialing issues
• Ensures compliance with the appropriate accrediting and regulatory agencies
• Monitors and reports turnaround times for processing of applications, with a focus on the delivery of a high-quality product with the greatest efficiency
• Advises leadership on changing regulatory requirements
• Serves as liaison between health plans and health system to support departments in the resolution of issues related to credentialing and plan participation

Ready to explore this outstanding interim opportunity? Forward your resume for our immediate and confidential review TODAY!

Why Galileo Search Should represent you:

19+ Years of Expertise/Experience/Specialization in Your Field, World-Class Representation & Support, Best in Industry Compensation & Travel Packages | Weekly Pay | Direct-Deposit | Optional Health Benefits & 401k | W-2 | Workers Comp | Professional Liability Insurance

ABOUT GALILEO SEARCH

Galileo Staffing Services, a division of Galileo Search, LLC., is a premier provider of interim healthcare specialists, professionals, and executives to nationwide acute care hospitals. To learn more about Galileo Staffing Services, visit our website at www.galileosearch.com.

How will YOU benefit when working with Galileo?

• Highly competitive pay rates that are best in the industry with weekly direct deposit
• Per diem for the housing of your choice if not provided by the client and for incidental expenses
• Weekly travel expense reimbursement (flights, rental car, or mileage)
• Medical, dental, vision, life insurance, and 401k available
• State License expense reimbursement for endorsement
• Comprehensive professional liability insurance coverage
• Short or long-term assignments
• Local, regional, or national assignments based on availability  
• World-class support before, during, and after each assignment

Forward your resume for confidential review or call to discuss this or other available career opportunities. Submit your resume via email for immediate consideration or use our convenient online Galileo Candidate Registry.

Galileo Search, LLC - People and Careers Perfectly Aligned.

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EXPERIENCE | EDUCATION | LICENSURE | CERTIFICATIONS 

• Bachelor’s degree required, Master’s preferred 
• Certified Professional in Medical Services Management (CPMSM), Certified Provider Credentialing Specialist (CPCS), or Provider Enrollment Certification (PESC) preferred
• Minimum of 7 years of comparable credentialing and provider enrollment leadership experience
• Extensive knowledge of NCQA and other credentialing standards
• Responsible for physician credentialing processes for all in-house and network physicians
• Well-organized and disciplined, with the ability to manage multiple and changing priorities efficiently
• Ability to establish and maintain effective working relationships with all levels of hospital staff
• Extensive experience with credentialing software systems
• Proficiency in Microsoft Office (Excel and Word)
• Outstanding communication skills, diplomacy, good listening capability, strong analytical and problem-solving ability
• Available to travel to the client site and work a full-time schedule, M - F, or as needed