What are the responsibilities and job description for the Supervisor-Dental Provider Credentialing - Remote position at LSV?

Job Details

Description

When it comes to making a meaningful difference in the lives of our customers and employees, USAble Life is always ready. We are a diverse group of individuals working together to go the extra mile. Through our DEI initiatives, employees feel empowered to bring their talents and voice to our culture.

Our passion for delivering the best products is matched only by our passion for our people. We are committed to making a meaningful difference in the lives of others which extends beyond our office walls. USAble Life has a long tradition of supporting our communities, and we’re proud of the fact that our employees share that commitment.

We have been recognized as a “Best Places to Work” in Arkansas, Florida, and Hawaii. You’ll be rewarded with opportunities for personal and professional development and opportunities for advancement. This, coupled with our engaging culture and a comprehensive benefits package, ensures we are committed to our employees.

Check out how we make a meaningful difference in the lives of others!

https : / / player.vimeo.com / video / 518665804

What We Offer You :

A culture that values employees and celebrates, empowers, and inspires a diverse workforce
Outstanding and affordable benefits package
PTO provided at date of hire
11 paid holidays
401(k) with up to 6% match; fully vested from day 1
Remote opportunities with company-provided equipment
Team-oriented, collaborative group of peers
Career advancement opportunities
Tuition Reimbursement
Employee Assistance Program
Inclusion Council and Employee Resource Groups
Recharge Days and Volunteer Time Off
This is a remote position.

Life Takes You Places! Are you ready to join us?

The starting base salary range for a Supervisor-Dental Provider Credentialing is $60,000 to $75,000. Actual salaries will vary by geographic location and are based on factors such as candidate’s qualifications, experience, skills, competencies, and company tenure & equity. In addition to base compensation, this role is eligible for a annual incentive plan based on company performance and individual performance.

Supervisor, Dental Provider Data Maintenance & Credentialing Overview

The Supervisor, Dental Provider Data Maintenance & Credentialing supervises the daily tasks of the Provider Data Maintenance & Credentialing Specialist I. This role works with outside vendors including but not limited to CVO, Dental Directors, Print and Mail Services.

Essential Duties

Monitors workflow within the team and with outside vendors such as the CVO and identifies opportunities for process improvements. Coaches and provides assistance and feedback to staff as needed

Researches, plans, and prepares departmental reports to ensure accuracy and efficiency of the team's data entry and adherence to NCQA protocols for credentialing and re-credentialing

Works directly with internal and external auditors and follows up on any recommended actions.

Works directly with Dental Director and Credentialing Committee attendees to ensure all files are reviewed, signed off on and any follow-up action completed

Facilitates all mailings associated with re-credentialing to ensure that NCQA guidelines relative to timeliness are being met

May perform other duties, including the daily functions of the credentialing team as assigned

Monitors and recommends adjustments to workflow processes and staff assignments

Prepares performance reviews, and administrative action documentation, and reviews with staff as necessary

Coordinates audit reviews as necessary and follows up on any action items

Manages reports to monitor efficiency and quality review

Prepares the monthly agenda for Credentialing Committee meeting

Makes all preparations for the Credentialing Committee Meeting and attends and creates meeting minutes

Drafts letters for all tabled cases and prepares check requests for the attendees' stipends

Required Knowledge, Skills, and Abilities

Knowledge of general credentialing processes

Knowledge of CVOs and NCQA Credentialing Guidelines

Advanced MS Office skills, particularly Excel

Excellent verbal and written communication skills including the ability to compose professional correspondence

Demonstrated leadership skills and the ability to assist and guide others

Ability to supervise staff using appropriate tools and techniques

Ability to maintain attention to detail and a low error rate

Ability to prioritize tasks and work within time constraints

Required Education and Experience

Bachelor’s Degree or related experience

3 to 5 years’ provider data maintenance & credentialing experience

Credentialing Delegation Oversight experience

Minimum 1 year of management / leadership experience

Or, equivalent military experience

Preferred Education and Experience

3 years as a Credentialing Specialist II

Certified Provider Credentialing Specialist (CPCS®)

USAL1

Salary : $60,000 - $75,000

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Supervisor-Dental Provider Credentialing - Remote

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