Top 1109 Licensing manager Jobs in Pembroke Pines Fl

Credentialing Manager
Confidential —Miami, FL
- Full-time
- 5 years
- HIPAA
- Mid-level
- Disability insurance
- Health insurance
Quick Apply
Brokerage & Advisory Manager
Concorde Investment Services —Boca Raton, FL
- $100,000 - $130,000 a year
- Full-time
- Office
- Team management
- Recruiting
- Health savings account
- Health insurance
Quick Apply
Financial Advisor
Retirement Consultant Services —Fort Lauderdale, FL
- $90,000 - $120,000 a year
- Full-time
- Background check
- Research
- Mid-level
- 401(k)
- Paid time off
Quick Apply
Finance and Insurance Manager ( Management Program - 1 yrs Exp Req)
New York Life Insurance Company —Sunrise, FL
- $60,000 - $280,000 a year
- Full-time
- Hybrid work
- Background check
- Sales
- Mid-level
- AD&D insurance
- Disability insurance
Quick Apply
Sales Representative
VC Health —Deerfield Beach, FL
- $80,000 - $120,000 a year
- Full-time
- Sales
- Office
- In-person
- Paid training
- Opportunities for advancement
Quick Apply
7d
Sr. Applications Support Engineer
Cardone Enterprises Inc —Aventura, FL
- $120,000 - $145,000 a year
- Email
- Spanish
- Google Workspace
- HIPAA
- Paid holidays
- Health insurance
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6d
Child Welfare Services Trainer
Citrus Family Care Network —Miami, FL
- $57,000 - $60,000 a year
- Full-time
- Hybrid work
- Background check
- Classroom
- Microsoft Outlook
- Health insurance
- Dental insurance
Quick Apply
Project Manager
MJ Boyd Consulting —Miami, FL
- 5 years
- Writing skills
- Office
Quick Apply
Head Start Teacher with AA degree (Notre Dame Child Development Center)
Catholic Charities Archdiocese of Miami —Miami, FL
- $40,880.33 a year
- Full-time
- Classroom
- CPR Certification
- Management
- Health insurance
- Dental insurance
8d
Fleet Transportation Manager
Mactown Inc —Miami, FL
- $68,000 - $80,000 a year
- Full-time
- School experience
- Management
- Pass drug screening
- Health savings account
- Health insurance
Quick Apply
Business Development: Sales Manager Fast Track
New York Life —Fort Lauderdale, FL
- $60,000 - $150,000 a year
- Full-time
- Hybrid work
- Background check
- Management
- Mid-level
- AD&D insurance
- Disability insurance
Quick Apply
16h
Account Manager
John Galt Insurance Agency —Fort Lauderdale, FL
- $45,000 - $60,000 a year
- Full-time
- Background check
- Spanish
- Customer service
- Paid holidays
- Health insurance
Quick Apply
Head Start Teacher with AA degree (Centro Hispano Child Development Center)
Catholic Charities Archdiocese of Miami —Miami, FL
- $40,880.33 a year
- Full-time
- Classroom
- CPR Certification
- Management
- Health insurance
- Dental insurance
8d
RN Manager Emergency Services
HCA Florida Woodmont Hospital —Tamarac, FL
- Full-time
- Pediatrics
- 1 year
- Senior level
- Employee stock purchase plan
- Disability insurance
Quick Apply
Supervisor (part-time) - Perry Ellis
Perry Ellis International - Retail —Miami, FL
- Part-time
- Merchandising
- Mid-level
- High school diploma or GED
- Paid holidays
- 401(k)
Service Manager
Suburban Propane —Miami, FL
- Full-time
- Inventory management
- Mid-level
- Residential
- Disability insurance
- Health insurance
6d
Downtown Miami Front Desk Manager
NFC Amenity Management —Miami, FL
- $50,000 a year
- Full-time
- Mid-level
- Supervising experience
- Mentoring
- Paid training
- Disability insurance
Quick Apply
Charge Nurse Progressive Care NIGHTS
HCA Florida Kendall Hospital —Miami, FL
- Full-time
- Mid-level
- Children
- Employee stock purchase plan
- Disability insurance
Quick Apply
Fleet Manager
Central Civil Construction —Medley, FL
- Full-time
- Spanish
- Management
- Heavy equipment operation
- Health insurance
- Dental insurance
Quick Apply
RN Nurse Manager Progressive Care
HCA Florida University Hospital —Davie, FL
- Full-time
- Medical-Surgical
- 1 year
- Senior level
- Employee stock purchase plan
- Disability insurance
Quick Apply

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Credentialing Manager

Confidential
Miami, FL

Quick Apply

Job Details

Full-time

Benefits

Disability insurance
Health insurance
Dental insurance
401(k)
Paid time off
Vision insurance
Life insurance

Qualifications

Staff supervision
Healthcare staff management
Operations management
Team leadership
HIPAA
Employee relationship building
Database management
Bachelor's degree
Data management
Attention to detail
NCQA standards
Bachelor of Business Administration
Medicaid regulations
Business Administration
Business
General management

Full Job Description

The Credentialing Manager is a key corporate functional role for the organization that administers credentialing and provider enrollment services. This role is responsible for managing and monitoring processes and procedures that support credentialing, re-credentialing, expirable data management, and ensuring compliance with state and federal regulations.

Strategic Leadership

Analyze and implement process improvements to enhance credentialing efficiency.
Serve as a primary resource to employees with regards to issues, interpretation and application and department policies and procedures.
Conduct periodic audits of credentialing files and staff work product.

Operational Excellence

Coordinates with practice management, licensing agencies, and insurance carriers to complete credentialing and re-credentialing applications.
Develop and implement departmental controls and procedures to ensure accuracy and efficiency.
Ensure compliance with the credentialing requirements of the health plan partners and related regulatory and accrediting agency requirements.

Collaboration and Reporting

Collaborate with leadership on policy development and standardization of criteria/processes across the organization.
Monitor external credential databases to ensure data is updated and ready for quick retrieval and use by interested parties.
Oversee processes and review all reports related to adverse actions such as sanctions, licensure actions or limitations, and credentialing-related complaints.

Compliance

Ensure compliance with state and federal regulations related to the delivery and documentation of patient care.
Monitor the renewal of licenses and other documents subject to expiration, and ensure updates are forwarded to facilities and healthcare partners as renewals are received.
Develops and provides regular reports and presentations on the operations and progress of credentialing functions, including activity related to approvals, denials, and appeals.

Team Development

Direct the output of a team of employees and provide ongoing training as needed regarding new guidelines or updated processes/policies.
Foster a positive, collaborative work environment that promotes teamwork and cross-functional cooperation.

KNOWLEDGE, SKILLS & ABILITIES

Excellent communication skills (written and verbal), as well as exceptional people skills.
Exceptional leadership abilities, a problem-solving mindset, and a focus on team engagement and transparency.
Strong understanding and use of web-based credentialing applications.
Ability to manage multiple priorities in a fast-paced environment while working professionally, courteously, collaboratively, and cooperatively as part of a team.
Ability to build partnerships with management, staff, and stakeholders to achieve department and organizational goals and objectives.
Attention to detail and ability to analyze large amounts of data.
Proficient with Microsoft Office Suite, database administration, and scanning applications.

EDUCATION & EXPERIENCE

Minimum of 5 years of credentialing experience with at least 2 years in a supervisory role.
Bachelor's degree in business administration or a healthcare-related field.
Master's degree and/or relevant field preferred.
Database management skills include querying, reporting, and document generation.

SUPERVISORY RESPONSIBILITIES

Manage the Credentialing process and its associates.

WORKING CONDITIONS

General office working conditions.

Job Type: Full-time

Benefits:

401(k)
Dental insurance
Disability insurance
Health insurance
Life insurance
Paid time off
Vision insurance

Work Location: In person

Quick Apply

Refine Your Search

licensing manager jobs in pembroke pines fl

Credentialing Manager

Brokerage & Advisory Manager

Financial Advisor

Finance and Insurance Manager ( Management Program - 1 yrs Exp Req)

Sales Representative

Sr. Applications Support Engineer

Child Welfare Services Trainer

Project Manager

Head Start Teacher with AA degree (Notre Dame Child Development Center)

Fleet Transportation Manager

Business Development: Sales Manager Fast Track

Account Manager

Head Start Teacher with AA degree (Centro Hispano Child Development Center)

RN Manager Emergency Services

Supervisor (part-time) - Perry Ellis

Service Manager

Downtown Miami Front Desk Manager

Charge Nurse Progressive Care NIGHTS

Fleet Manager

RN Nurse Manager Progressive Care

I want to receive the latest job alert for licensing manager in pembroke pines fl

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