Credentialing Program Manager

Administrative AssistantAdministrative AssistantFull TimeRemoteMid LevelTeam 10,001+Since 1891H1B SponsorCompany SiteLinkedIn

Location

Ohio

Posted

21 days ago

Salary

0

Seniority

Mid Level

Bachelor Degree2 yrs expEnglish

Job Description

Credentialing Program Manager

OhioHealth

• The CVO PM manages and coordinates the credentialing and recredentialing process for all applicants to the OhioHealth Medical Staff, Allied Practitioner Staff, the CIN, and/or the OhioHealthy Medical Plan. • The CVO PM will utilize three sets of credentialing policies and procedures managed by the CVO to support TJC accreditation for the OhioHealth hospitals and NCQA accreditation to support the CIN and OhioHealthy Medical Plan. • The CVO PM is accountable for ensuring all information is accurate and up to date prior to completing an application. • The CVO PM will collaborate with applicants and/or credentialing contacts to resolve discrepancies in application documents. • The CVO PM will collaborate with associates of other OhioHealth medical affairs teams, the CIN and/or OhioHealthy to address questions related to a providers credentialing application or status in the credentialing process. • The CVO PM will complete the credentialing assignment and ensure compliance with regulatory guidelines, including all applicable policies and procedures that govern the credentialing department. • The CVO PM will appropriately identify applications that require medical director review by following credentialing department policies specific to the CIN and OhioHealthy. • The CVO PM will prepare the Medical Director Review (MDR) packet and collaborate with CVO leadership when a review is needed. • The CVO PM will maintain confidentiality for all credentialing/re-credentialing/membership issues. • The CVO PM will participate in system-wide credentialing initiatives as identified (ex: process improvement projects). • The CVO PM will participate in KPI (key performance indicator) huddles as scheduled. • The CVO PM will participate in weekly gemba meetings including development of information to share along with presentation of topic as required by department gemba schedule. • The CVO PM will work individually and independently with minor supervision while meeting productivity expectations and maintaining high quality work.

Job Requirements

  • Bachelor's Degree (Required)
  • Minimum of two years credentialing experience through a CVO-like department, or hospital medical staff/allied practitioner credentialing experience.
  • Knowledge of physician and allied practitioner credentialing processes.
  • Detailed understanding of TJC and NCQA credentialing requirements.
  • Credentialing database management (Cactus or similar credentialing database).
  • Familiarity with Microsoft products.

Benefits

  • Health insurance
  • Paid time off
  • Professional development opportunities

Related Categories

Related Job Pages

More Administrative Assistant Jobs

Ministère des armées. Liberté, égalité, fraternité. logo

Administrative Agent 1C/33

Ministère des armées. Liberté, égalité, fraternité.

Personnes à contacter : dcsca-arcueil.gestionnaire.fct@intradef.gouv.fr stephanie.porcher@intradef.gouv.fr

Role Description Placé(e) sous l'autorité du chef du département Appui Scientifique et en lien direct avec les trois chefs d'unités de ce département, l'agent(e) assure le soutien administratif et logistique global du département. Le poste requiert une forte organisation transversale pour fluidifier les relations internes et externes. Qualifications - Titulaire d'un diplôme de secrétariat / administration ou solides compétences dans ce domaine. - Compétences en gestion des flux pour assurer l'interface relationnelle et transversale. - Maîtrise du traitement du courrier physique ou dématérialisé. - Capacité à relire les livrables scientifiques ou comptes-rendus pour garantir la qualité. - Connaissance des exigences de la certification ISO 9001. - Compétence en gestion administrative pour piloter le suivi de proximité des présences. - Maîtrise des techniques de gestion documentaire et d'archivage. - Excellente maîtrise des outils bureautiques et collaboratifs. Requirements - Suivi permanent des actions d'amélioration et tenue des tableaux de bord. - Sécuriser la transmission des documents du personnel. - Recenser l'activité des trois unités et classer les données. - Assurer le suivi spécifique des fiches de validation initiale de projet à capitaliser. Benefits - Documents à transmettre : CV et lettre de motivation obligatoires. Company Description - Contact : emmanuelle.isimat-mirin@intradef.gouv.fr - Contact : mounir1.chennaoui@intradef.gouv.fr

France
Job Closed
Treant logo

Customer Service – Administrative Specialist

Treant

Treant is er in alle fasen van het leven: van de zorg voor een ongeboren kind tot de zorg in de laatste jaren.

Full TimeRemoteTeam 5,001-10,000H1B No Sponsor

• Provide professional customer service via phone, email, and other communication channels • Assist customers with account inquiries, payment arrangements, and contract-related questions • Conduct first-party collections activities on delinquent accounts while maintaining a professional and customer-focused approach • Review customer agreements and supporting documentation for accuracy and completeness • Verify that all required customer information has been submitted and properly documented • Cross-reference contracts and supporting documents to ensure consistency and compliance • Maintain accurate and up-to-date customer records within company databases and CRM systems • Organize, categorize, and manage electronic documents for efficient retrieval • Audit customer files throughout the application and onboarding process • Escalate discrepancies or compliance concerns as required • Perform general administrative and operational support duties as assigned**

Philippines
$5 - $6 / hour
Treantly logo

Customer Service & Administrative Specialist

Treantly

Treantly is a Canadian-based recruitment agency that facilitates the connection between businesses in North America and exceptional remote staff in the Philippines.

Role Description We are seeking a highly organized and detail-oriented Customer Service & Administrative Specialist to support our customer account management, document review, and administrative operations. This role combines customer service, first-party collections, contract administration, and general administrative support. The ideal candidate possesses exceptional English communication skills, strong attention to detail, and the ability to manage multiple responsibilities while maintaining professionalism and accuracy. Key Responsibilities - Provide professional customer service via phone, email, and other communication channels - Assist customers with account inquiries, payment arrangements, and contract-related questions - Conduct first-party collections activities on delinquent accounts while maintaining a professional and customer-focused approach - Review customer agreements and supporting documentation for accuracy and completeness - Verify that all required customer information has been submitted and properly documented - Cross-reference contracts and supporting documents to ensure consistency and compliance - Maintain accurate and up-to-date customer records within company databases and CRM systems - Organize, categorize, and manage electronic documents for efficient retrieval - Audit customer files throughout the application and onboarding process - Escalate discrepancies or compliance concerns as required - Perform general administrative and operational support duties as assigned Qualifications - Previous experience in customer service, collections, administration, virtual assistance, or a related role - Excellent verbal and written English communication skills with a high level of fluency and professionalism - Neutral or easily understood English accent preferred - Strong attention to detail and commitment to accuracy - Experience handling customer accounts, payment discussions, or collection activities is considered an asset - Proficiency with Microsoft Office, Google Workspace, CRM platforms, and database management systems - Strong organizational and time-management skills - Ability to manage multiple priorities while meeting deadlines - Professional demeanor and strong problem-solving abilities - Ability to work independently with minimal supervision - High level of discretion and confidentiality when handling customer information Preferred Qualifications - Experience working with North American customers - Experience in financing, lending, collections, contract administration, or compliance-related environments - Experience making and receiving a high volume of customer calls - A current MS laptop / computer is required (No Apple) Benefits - Collaborative and supportive work environment - Opportunity to grow with a company - Stable, long-term remote work opportunity - Health Insurance (Maxicare HMO) after 3 months probationary period

Philippines
$5 - $6 / hour
Fonction publique Territoriale logo

Administrative and Legal Assistant

Fonction publique Territoriale

Vision stratégique et capacité d’analyse; Rigueur et sens de l’organisation; Pédagogie et capacité d’accompagnement des services; Capacité à travailler en transversalité; Force de proposition.

Role Description - Sous la responsabilité de la DGS, l’agent : - Recueille et traite les informations nécessaires au fonctionnement administratif et juridique du service. - Suit les dossiers administratifs et gère les dossiers selon l’organisation et ses compétences en collaboration avec le responsable de service. - Assiste le responsable de service dans l’organisation du travail du service. - Apporte une aide permanente au responsable de service en termes d’organisation personnelle, de gestion, de communication, d’information, d’accueil, de classement et suivi de dossiers. Qualifications - Licence Administration publique ou Carrières juridiques - BTS Assistante de gestion PME/PMI ou Assistante de direction ou autres diplômes dans le domaine ou domaine juridique Requirements - Connaissances théoriques - Connaissance de l’environnement territorial - Diplôme en droit public - Connaissances administratives et juridiques souhaitées - Connaissance de l’organisation et des compétences des collectivités - Capacité d’analyse et de synthèse - Qualités rédactionnelles - Maîtrise de l’outil informatique - Connaître l’environnement territorial et les acteurs publics - Avoir un sens pointu de l’organisation - Définir des priorités et gérer des urgences - Travailler sur des plages horaires étendues Company Description

France
Job Closed