Amplifon USA

Manager of Credentialing

Job Location US-MN-Plymouth
Posted Date 4 weeks ago(1/29/2018 10:50 AM)
Job ID
2018-2765
Category
Insurance Billing

Overview

The value of our business is driven by the quality of our work. The Manager of Credentialing role is the perfect opportunity to amplify your career if you have a passion for leading a team that upholds the integrity of the hearing care professionals in our Amplifon Hearing Health Care network.

 

Amplifon Americas, the leader in global hearing care has a strong demand for diverse, authentic, creative, and dynamic talent. In this role, you’ll collaborate define goals and safeguard the compliance of 5000+ providers that bring sound to life for millions of people.

 

Responsibilities

Success Criteria:

You’ll leverage years of credentialing experience to take charge of the credentialing, re-credentialing, and ongoing monitoring of the national provider network and maintain policies and procedures in accordance to payer and government requirements. You know NCQA requirements like the back of your hand and can help your team gain this higher-level knowledge.

 

You go to sleep at night knowing the providers you credential are compliant and the database is clean. Developing and implementing strategies, analyzing metrics and establishing protocols will drive this outstanding quality. You’ll empower your team to report adverse finding and escalate issues to AHHC leaders.

 

Lastly, when our AHHC sales team is courting a new payer, you’ll have the laser focus of a hawk during contract negotiations/implementation, interpreting requirements and ensuring compliance. With strong contracting & provider relations skills, your passion for leading will also help elevate your team’s performance to exceed partner expectations.

 

Qualifications

  • Bachelor’s Degree is required
  • 5+ years credentialing experience with progressive responsibility and management positions in healthcare credentialing, preferably with automated systems
  • 3+ years of supervisory experience
  • 3+ years of experience with commercial and government health plans preferred
  • Knowledge of National Committee for Quality assurance, Joint Commissions and/or Utilization Review Accreditation Commission policies and procedures

 

Required Skills:

  • Proficiency with Microsoft Suite and advanced Excel skills
  • Experience with revenue cycle technology & systems
  • Salesforce experience a plus
  • Able to coordinate multiple projects simultaneously
  • Strong attention to detail, time management, and organizing skills
  • Ability to identify problems and use critical thinking skills to solve them

While this is a highlight of what you’ll do, what you’ll get is pretty great too: 

  • Excellent compensation & benefits
  • Career path planning & mentorship
  • Award winning work/life balance
  • International business exposure
  • An amazing team of colleagues and leaders

 

Ready to Amplify Your Career? Apply now…

 

Options

Sorry the Share function is not working properly at this moment. Please refresh the page and try again later.
Share on your newsfeed