This position is a customer service oriented position that will direct the daily activities of the Credentialing and Physician Services departments. Provides direct interaction with Hospital Medical Staff Services and other departments requiring specific Provider related information. In addition this position will maintain positive relationships with all Surgery and OB offices ensuring that information is provided timely and problem resolution is a seamless process. This position will ensure the integrity of all information provided to facilities while maintaining the utmost confidentiality.

At this time, US Anesthesia Partners does not hire candidates residing in California, Hawaii, or Alaska.

ESSENTIAL DUTIES AND RESPONSIBILITIES: (The ideal candidate must be able to complete all physical requirements of the job with or without a reasonable accommodation)

CREDENTIALING:

• Directs the daily activities of the credentialing department.
• Works with all facility Medical Staff Services and Central Verification Offices to ensure that USAP is current on all primary verification (documents) and other requirements as dictated by Medical Staff Bylaw Updates.
• Participates in the yearly malpractice insurance renewal process, while working closely with the CFO, Quality Management, and Risk Management department heads.
• Ensures that any issues regarding state medical license, Federal Drug Enforcement Administration (DEA), or other pertinent agency data are resolved timely and with the utmost confidentiality.
• Maintains information regarding Continuing Education Opportunities for Providers and oversees database retention of all Continuing Medical Education (CME) data.
• Works closely with Physician Recruiter and Human Resources to maintain accurate physician headcount and status of all recruits.
• Ensures all departmental policies and procedures are documented and maintained on an on-going basis.
• Maintains customer contacts with all levels of personnel, including physicians, division manager’s executive committee, USAP Senior Management Team and a multitude of external contacts at all levels.
• Fosters a positive work environment and maintains thorough staff retention or recruitment experiences for Credentialing staff. Maintains departmental budget at or below the yearly projections.
• Maintains data management and work processes in Credentialing Software application.  Experience with Morrisey (Apogee) or similar credentialing applications is preferred.
• Performs other duties as assigned.

COMPLIANCE & QUALITY OVERSIGHT

• Maintain compliance with Joint Commission, DNV, AAAHC, and NCQA standards.
• Partner with Legal/Compliance to support due diligence during group acquisitions and integrations, as applicable.
• Lead a credentialing team, providing training, coaching, and performance oversight.
• Collaborate with hospital/ASC medical staff offices to support the privileging process and ensure alignment with bylaws.
• Implement process improvements to streamline turnaround times, reduce errors, and ensure data accuracy.

KNOWLEDGE/SKILLS/ABILITIES (KSAs):

• Bachelor’s degree in business, healthcare administration or relevant field and three to five years of solid Healthcare management experience; or equivalent combination of education and experience.
• Professional Certification is preferred.
• Three to Five years of direct Physician interaction.
• Five years of Supervisory/Management experience working.
• Working knowledge of credentialing, managed care and general physician practice management.
• Direct Credentialing experience related to maintaining appointments and reappointments for a large provider base.
• Demonstrated ability to work cooperatively with physicians, all staff members and external customers.
• Strong Leadership, management and organizational skills.
• Strong attention to detail.
• Overall knowledge of healthcare.
• Must be able to select, develop, effectively manage and motivate staff.
• Working knowledge of computers and general patient accounting and credentialing systems.
• Self-motivated, team player, with a sense of autonomy, initiative, and responsibility.
• Ability to set and meet deadlines.
• Ability to identify and resolve problems effectively.

License and Certification:

• Membership in the National Association of Medical Staff Services (NAMSS) is encouraged.
• Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services Management (CPMSM) and membership in the National Association of Medical Staff Services are positive attributes for consideration.

*The physical demands described here are representative of those that may need to be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Occasional Standing
• Occasional Walking
• Frequent Sitting
• Frequent hand, finger movement
• Use office equipment (in office or remote)
• Communicate verbally and in writing

US Anesthesia Partners, Inc. provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, gender identity, sexual orientation, pregnancy, status as a parent, national origin, age, disability (physical or mental), family medical history or genetic information, political affiliation, military service, or other non-merit based factors.