Top 1955 Credentialing manager Jobs in Remote

Sr Manager, Credentialing and Accreditation - remote opportunity
Tivity Health, Inc. —Remote
- $96,600 - $135,300 a year
- Full-time
- Remote
- Bachelor's degree
- Senior level
- 4 years
- Health insurance
- Dental insurance
Licensing and Credentialing Manager (Telemedicine)
Beacon Talent —Remote
- $95,000 - $110,000 a year
- Full-time
- Remote
- Senior level
- Telehealth
- Commercial
Quick Apply
Fulfillment Operations Manager
Nutrafol —Remote
- $95,000 - $110,000 a year
- Weekends as needed
- Remote
- Mid-level
- Analysis skills
- Supervising experience
- Health insurance
- Dental insurance
Manager Operations
Lumen Technologies —Remote
- $105,786 - $155,152 a year
- Remote
- Background check
- Pass drug screening
- Bachelor's degree
Medical Credentialing Coordinator
Curana Health —Remote
- Full-time
- Mid-level
- Databases
- High school diploma or GED
Operations Manager
General Dynamics Information Technology —Remote
- $97,968 - $132,250 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- 5 years
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- 401(k) matching
Operations Manager, Outpost Services
Indeed —Remote
- $98,000 - $204,000 a year
- Full-time
- Computer science
- 3 years
- Military encouraged
- Paid parental leave
- Paid holidays
Quick Apply
Manager, Customer Success Operations
GitLab —Remote
- $115,200 - $194,400 a year
- Full-time
- Remote
- Senior level
- 4 years
- Employee stock purchase plan
- Health insurance
Operations Planning Manager (New Markets & Platforms)
Waymo —Remote
- $159,000 - $196,000 a year
- Full-time
- Remote
- 5 years
- Finance
- SQL
- Paid holidays
- Disability insurance
Credentialing Manager
Sleep Doctor —Seattle, WA
- $75,000 - $90,000 a year
- Remote
- 6 years
- Supervising experience
- Bachelor's degree
- Dental insurance
- Flexible spending account
Quick Apply
Order Operations Manager
Ookla —Remote
- $85,000 - $110,000 a year
- Full-time
- 5 years
- ERP systems
- Analysis skills
Manager, Facilities Operations
Kite Pharma —Remote
- $123,930 - $160,380 a year
- Full-time
- Inventory management
- Engineering
- Master's degree
- Health insurance
- Dental insurance
Billing Support Operations Manager (Remote)
Rula —Los Angeles, CA
- $99,000 - $114,950 a year
- Full-time
- Remote
- 5 years
- Experience equivalent to degree accepted
- Senior level
- Paid parental leave
- Health savings account
Senior Manager, Support Operations
Rippling —Remote
- $114,000 - $171,000 a year
- Full-time
- Remote
- Mentoring
- Senior level
- Leadership
Senior Manager, Last Mile & Field Operations
Tonal —Remote
- $150,000 - $160,000 a year
- Full-time
- Remote
- 7 years
- Senior level
- Leadership
- Disability insurance
- Health insurance
Remote Credentialing Specialist
Fyzical —Coral Springs, FL
- $25 - $35 an hour
- Part-time
- Remote
- Mid-level
- Organizational skills
Senior Manager, Pricing Operations
NetApp —Remote
- $170,000 - $253,000 a year
- Office
- Finance
- Master's degree
- Employee stock purchase plan
- Health insurance
Contract Business Operations Manager (Part-Time)
Advoc8 —Remote
- Part-time
- Remote
- Google Workspace
- Research
- Mid-level
Customer Operations & Patient Support Manager (12 pm – 8 pm EST)
Novartis —Remote
- $108,500 - $201,500 a year
- 8 hour shift
- Remote
- Mid-level
- Bachelor's degree
- Commercial
- Health insurance
- 401(k) matching
13h
Part-Time 100% Remote Operations Project Manager (Multiple Disciplines)
Fertility Bridge —Remote
- $30 - $35 an hour
- Part-time
- Remote
- Mid-level
- Continuous improvement
- Team management

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Sr Manager, Credentialing and Accreditation - remote opportunity

Tivity Health, Inc. -
Remote

Apply Now

Job Details

Full-time
$96,600 - $135,300 a year

Benefits

Health insurance
Dental insurance
Paid time off
Vision insurance
401(k) matching
Gym membership

Qualifications

Customer communication
Staff supervision
Accreditation standards (regulatory compliance area)
Team supervision
Managed care organization experience
Compliance audits & assessments
Healthcare team management
Quality audits
Business operations
Client interaction via phone calls

Full Job Description

Description/Responsibilities:

The Sr. Manager, Credentialing and Accreditation is responsible for overseeing credentialing and accreditation operations. This position manages a variety of staff and operations focused on credentialing, federal/state regulatory compliance, client audits and oversight of NCQA and URAC accreditations.

Lead and manage credentialing activities in new and existing markets and ensure that operations meet NCQA credentialing standards and all federal/state specific regulatory requirements
Manages the program delivery, oversight and maintenance for NCQA and URAC accreditations, including implementation of standards updates and changes
Manages new client implementation including development and credentialing program workflow, pre-delegation audits, and regulatory requirements.
Develop and implement strategies for credentialing operations across all product lines
Participates in business analysis review for staffing models including quarterly and yearly review of metrics to support current and new business.
Leads Quality Management Committee (QMC) to support evaluation of quality related objectives, and ensure compliance and regulatory requirements are met for policies and procedures
Manages oversight of the Global Annual Evaluation, work plan, annual reports and annual evaluations
Interact with current, new, and prospective Clients and/or internal Client teams to ensure credentialing delegation and client audits are understood, communicated, and implemented within the appropriate network teams
Coordinate changes with Operations, Client Relations/Account Management, Marketing, and all other appropriate departments and design processes to improve inter-departmental communication
Represent credentialing and accreditation on cross-functional teams and meetings, including new market rollout and product development
Produce and distribute key indicator reports including credentialing turnaround times and re-credentialing
Manage a team of colleagues and contractors
Create, document, and implement or recommend process improvements
Management and oversight of the credentialing vendor(s) and database(s)
Assist in the development and implementation of database design enhancements

Qualifications:

Bachelor’s degree in healthcare administration or related field is highly preferred.
Experience in Credentialing operations and requirements, Utilization Management, and accreditation standards are preferred.
Minimum of 5+ years of experience in a health care operations or managed care role required.
4+ years of supervisory experience required
Operational experience within a health insurance environment
Direct experience with accreditation/certification/audit activities required
Direct experience with the supervision and management of personnel required
Must exhibit excellent interpersonal skills and professionalism including strong verbal, telephonic and written communication skills
Ability to work under pressure and have strong listening skills; build and maintain relationships with internal/external customers and present topics clearly and concisely
Demonstrable strategic thinking abilities
Analytical with problem-solving aptitude
Excellent PC skills including proficiency with MS Office software
Strong attention to detail and accuracy

The salary range for this opportunity is $96,600 to $135,300. Compensation depends on several factors: qualifications, skills, competencies, and experience.

Tivity Health offers a robust benefits package, which includes a competitive salary, company bonus potential, medical, dental, vision, 401k with match, generous paid time off, free gym membership to over 13,000 fitness locations in the US, and other great benefits.

7554

#LI-CM1

About Tivity Health® Inc.
Tivity Health, Inc. is a leading provider of healthy life-changing solutions, including SilverSneakers®, ForeverFit®, and WholeHealth Living®. We help adults improve their health and support them on life's journey by providing access to in-person and virtual physical activity, social and mental enrichment programs, as well as a full suite of physical medicine and integrative health services. Our suite of services support health plans, employers, health systems and providers nationwide as they seek to reduce costs and improve health outcomes. Learn more at TivityHealth.

Tivity Health is an equal employment opportunity employer and is committed to a proactive program of diversity development. Tivity Health will continue to recruit, hire, train, and promote into all job levels without regard to race, religion, gender, marital status, familial status, national origin, age, mental or physical disability, sexual orientation, gender identity, source of income, or veteran status.

Apply Now

Refine Your Search

credentialing manager jobs in remote

Sr Manager, Credentialing and Accreditation - remote opportunity

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