Credentialing Supervisor

QTC Management, Inc.

10h

About The Position

Leidos QTC Health Services is seeking a Credentialing Supervisor to join our Provider Management team. You will oversee the status of the Credentialing team, schedule and prepare reports, monitor and develop resolutions to meet productivity, quality and timeliness goals and objectives. You will participate in ongoing projects under the supervision of the Credentialing Manager.

Requirements

Bachelor’s degree from an accredited college, or equivalent experience/combined education
2 years of experience supervising or leading teams or projects
Must be able to successfully pass National Agency Check with Inquiries (NACI) background investigation

Nice To Haves

Strong leadership skills with the ability to prioritize and delegate effectively
Demonstrated ability to work independently, take initiative and be self-motivated
Ability to effectively manage competing priorities with a sense of urgency
Strong communication skills both written and verbal
Excellent organizational and follow-up skills, with strong attention to detail
Proficient knowledge of MS Office (Excel, Word, PowerPoint)
Ability to learn proprietary software
Strong analytical and critical thinking skills
Motivated, proactive and results-oriented
Ability to understand, maintain and modify credentialing processes that conform to industry standard while understanding and respecting QTC Credentialing processes
Current certification as a Certified Provider Credentialing Specialist (CPCS)

Responsibilities

Responsible for team performance in order to achieve accurate and timely input of approved provider information into tracking tool
Coordinates employee onboarding and training, performance assessment, work assignments, salary, and recognition/disciplinary actions
Ensures provider credentialing process is completed in a timely manner
Responsible for daily operational workflows including communication with internal and external business partners
Ensures the use of best practice workflow and operations excellence
Act as escalation point of contact for any issues as needed
Assist with requests for proposal (RFP), adding new lines of business (LOB) and building provider network and credentialing requirements
Assists with resolving provider credentialing concerns
Recommends process and system improvements
Plans, designs and implements projects with moderate supervision
Evaluates data on all aspects of credentialing process
Perform other duties and responsibilities as assigned