Manager, Provider Credentialing (NCQA)

Privia Health
Mobile, AL
Category Healthcare
Remote
Job Description
Privia Health is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices, improve patient experiences, and reward doctors for delivering high-value care. The Manager, Provider Credentialing is responsible for all aspects of the credentialing, re-credentialing and privileging processes for all providers in Privia’s high performance medical group.

Requirements

  • 5+ years' experience in managed care credentialing, billing and/or Medical Staff service setting required
  • Comprehensive knowledge of NCQA (or equivalent) standards in credentialing as well other state and regulatory licensure requirements
  • People management experience required
  • Demonstrated skills in problem solving and analysis and resolution
  • Must be able to function independently, possess demonstrated flexibility in multiple project management
  • Must comply with HIPAA rules and regulations

Benefits

  • Medical, dental, vision, life, and pet insurance
  • 401K
  • Paid time off
  • Other wellness programs
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