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clinical documentation improvement specialist jobs near richmond va

Supervisor, Provider Operations - Credentialing - Remote

Sentara Health Administration, Inc.
Richmond, VA

Quick Apply

Job Details

Full-time
$69,742.40 - $116,251.20 a year
2 days ago

Benefits

403(b) matching
Paid parental leave
Caregiver leave
Disability insurance
Health insurance
Dental insurance
Tuition reimbursement
Paid time off
Parental leave
Employee assistance program
Vision insurance
401(k) matching
403(b)
Life insurance
Pet insurance

Qualifications

Medical credentialing application review
Employee onboarding
Operations management
Provider database maintenance for medical credentialing
Managed care organization experience
Internal compliance auditing
Training material drafting
Mid-level
3 years
High school diploma or GED
Team development
Data management
Continuous improvement
Team management
Team training
System testing
Quality improvement
Healthcare provider information
Healthcare team management
Operational excellence initiatives
Healthcare compliance
Quality assurance experience within healthcare
Staff development

Full Job Description

City/State

Norfolk, VA

Work Shift

First (Days)

Overview:

Sentara Health Plans is currently hiring for a Supervisor, Provider Operations - Credentialing - Remote!

Status: Full-time, permanent position (40 hours)

Work hours: 8am to 5pm EST, M-F

Location: Remote opportunities are available in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington (state), West Virginia, Wisconsin, Wyoming

Job responsibilities:

The primary role of the Team Coordinator is to manage the day-to-day activities regarding provider data management and credentialing.
This position serves as a subject matter expert and will help support, quality assurance, internal and external auditing of the key processes, system compliance and acceptance testing, and process improvements designed to increase operational effectiveness.
This position will also be responsible for the documentation of new policies and procedures, the development and maintenance of training materials, and assistance with onboarding new staff.
This position will manage a team of up to 10 to 14 credential specialists I and II

Education:

HS - High School Grad or Equivalent preferred

Certification/Licensure:

None required

Experience:

Healthcare- 3 years REQUIRED
Health plan experience is preferred

Pay Transparency:

We provide market-competitive compensation packages, inclusive of base pay, incentives, and benefits. The base pay rate for Full Time employment is: 69,742.4- 116,251.2. Additional compensation may be available for this role such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Sentara Health Plans provides health plan coverage to close to one million members in Virginia. We offer a full suite of commercial products including employee-owned and employer-sponsored plans, as well as Individual & Family Health Plans, Employee Assistance Programs and plans serving Medicare and Medicaid enrollees.

Our quality provider network features a robust provider network, including specialists, primary care physicians and hospitals.

We offer programs to support members with chronic illnesses, customized wellness programs, and integrated clinical and behavioral health services—all to help our members improve their health.

Our success is supported by a family-friendly culture that encourages community involvement and creates unlimited opportunities for development and growth.

Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve!

To apply, please go to www.sentaracareers.com and use the following as your Keyword Search: JR-102996

Talroo – Health Plan

Healthcare, Health Plan, Remote, Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington (state), West Virginia, Wisconsin, Wyoming, Credentials Verification Organization (CVO), MCO, Managed Care, HMO, Hospital Based Credentialing (MSO), CPCS, Certified Provider Credentialing Specialist, Provider, Data Management, Network, Contract

Benefits: Caring For Your Family and Your Career

Medical, Dental, Vision plans
Adoption, Fertility and Surrogacy Reimbursement up to $10,000
Paid Time Off and Sick Leave
Paid Parental & Family Caregiver Leave
Emergency Backup Care
Long-Term, Short-Term Disability, and Critical Illness plans
Life Insurance
401k/403B with Employer Match
Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education
Student Debt Pay Down – $10,000
Pet Insurance
Legal Resources Plan
Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met.

Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.

In support of our mission “to improve health every day,” this is a tobacco-free environment.

For positions that are available as remote work, Sentara Health employs associates in the following states:

Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.

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clinical documentation improvement specialist jobs in richmond va

Supervisor, Provider Operations - Credentialing - Remote

Medical Scribe

Inpatient Coding Auditor

Revenue Cycle Manager

RN- Registered Nurse

Clinical Documentation Specialist (Remote Part-Time Contract)

Staff RN - ECMO Spec / FT, nights

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Sentara Health Plans is currently hiring for a Supervisor, Provider Operations - Credentialing - Remote!

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