Wethersfield, Connecticut, USA
18 days ago
Senior Director, Credentialing Verification Organization & Medical Staff Office
Work where every moment mattersEvery day over Hartford HealthCare colleagues come to work with one thing in common Pride in what we do knowing every moment matters here We invite you to become part of Connecticutrsquos most comprehensive healthcare networkHartford HealthCarersquos unified culture enhances access affordability equity and excellence Its care delivery system with more than locations serving towns and cities includes two tertiary level teaching hospitals an acute care community teaching hospital an acute care hospital and trauma center three community hospitals a behavioral health network a multispecialty physician group a clinical care organization a regional home care system an array of senior care services a mobile neighborhood health program and a comprehensive physical therapy and rehabilitation network On average Hartford HealthCare touches more than lives every single day The unique system wide Institute Model offers a unified high standard of care in crucial specialties at hospital and ambulatory sites across Connecticut offering unparalleled expertise at the most affordable cost The institutes include Ayer Neuroscience Behavioral Health Cancer Digestive Health Heart and Vascular Orthopedics and Tallwood Urology KidneyPosition SummaryThe Senior Director will provide strategic leadership to the HHC System Credentialing Verification Organization CVO Medical Staff Office MSO and Provider Enrollment teams PE Overseeing the departmental operations the Senior Director will assure the delivery of superior credentialing verification services and privileging for all hospital entities their medical staffs and any contracted clients The Senior Director will have oversight for credentialing and provider enrollment and medical staff functions for all HHC employed providers assuring timely enrollment of all HHC facilities and medical groups with payersKey AccountabilitiesLeads medical staff offices and collaborates with medical staff leadership and executive leadershipResearches and implements tools and solutions to support and optimize the CVOMSOPEDevelops and ensures metrics goals and projects are documented executed tracked and accomplishedMaintains a thorough and working knowledge of important industry standards set forth by organizations such as the Joint Commission NCQA CMS etcDevelops policies procedures and standard work for the CVOMSOPE in accordance with standards rules regulations and medical staff bylawsProvides continuous feedback to Executive Staff as it relates to observed issues with staff customer concerns volume of workCreates and monitors standard work for medical staff credentialing provider enrollment MSO processesBenchmarks with national professional organizations and other PE organizations to determine best practices for provider enrollmentEstablishes standards for turnaround time and monitors performance relative to those standardsOversees the data integrity and functionality of credentialing and enrollment databasesResponsible for ensuring that the credentialing data is accurate and available for other systems to utilize as their sourceEvaluates key financial budgetary and other metrics related to operationsProvides information forecasts trends or other conditions that may affect operations or budget planningParticipates in the development of FTE budgetary expenses operational expenses and capital budgetsProvides orientation education and training of staff regarding business practices standards regulationsCoaches and mentors staff utilizing HW leadership behaviorsWork where every moment mattersEvery day over Hartford HealthCare colleagues come to work with one thing in common Pride in what we do knowing every moment matters here We invite you to become part of Connecticutrsquos most comprehensive healthcare networkHartford HealthCarersquos unified culture enhances access affordability equity and excellence Its care delivery system with more than locations serving towns and cities includes two tertiary level teaching hospitals an acute care community teaching hospital an acute care hospital and trauma center three community hospitals a behavioral health network a multispecialty physician group a clinical care organization a regional home care system an array of senior care services a mobile neighborhood health program and a comprehensive physical therapy and rehabilitation network On average Hartford HealthCare touches more than lives every single day The unique system wide Institute Model offers a unified high standard of care in crucial specialties at hospital and ambulatory sites across Connecticut offering unparalleled expertise at the most affordable cost The institutes include Ayer Neuroscience Behavioral Health Cancer Digestive Health Heart and Vascular Orthopedics and Tallwood Urology KidneyPosition SummaryThe Senior Director will provide strategic leadership to the HHC System Credentialing Verification Organization CVO Medical Staff Office MSO and Provider Enrollment teams PE Overseeing the departmental operations the Senior Director will assure the delivery of superior credentialing verification services and privileging for all hospital entities their medical staffs and any contracted clients The Senior Director will have oversight for credentialing and provider enrollment and medical staff functions for all HHC employed providers assuring timely enrollment of all HHC facilities and medical groups with payersKey AccountabilitiesLeads medical staff offices and collaborates with medical staff leadership and executive leadershipResearches and implements tools and solutions to support and optimize the CVOMSOPEDevelops and ensures metrics goals and projects are documented executed tracked and accomplishedMaintains a thorough and working knowledge of important industry standards set forth by organizations such as the Joint Commission NCQA CMS etcDevelops policies procedures and standard work for the CVOMSOPE in accordance with standards rules regulations and medical staff bylawsProvides continuous feedback to Executive Staff as it relates to observed issues with staff customer concerns volume of workCreates and monitors standard work for medical staff credentialing provider enrollment MSO processesBenchmarks with national professional organizations and other PE organizations to determine best practices for provider enrollmentEstablishes standards for turnaround time and monitors performance relative to those standardsOversees the data integrity and functionality of credentialing and enrollment databasesResponsible for ensuring that the credentialing data is accurate and available for other systems to utilize as their sourceEvaluates key financial budgetary and other metrics related to operationsProvides information forecasts trends or other conditions that may affect operations or budget planningParticipates in the development of FTE budgetary expenses operational expenses and capital budgetsProvides orientation education and training of staff regarding business practices standards regulationsCoaches and mentors staff utilizing HW leadership behaviorsBachelorrsquos Degree is required Extensive experience may substitute for education Masterrsquos degree in health care related field or equivalent is preferredFive plus years of experience in Medical Staff Services with management experienceCPCS Certification is required CPMSM Certified professional Medical Staff Management from NAMSS certification is preferred Understanding of the credentialing and privileging processes for hospitals and ambulatory care settings and provider enrollmentAbility to work with multiple application specific databasesAdvanced knowledge of medical terminologyAbility to work within and promote a team environmentAbility to work on multiple projects and deadlines and to support medical staff leaders and functions Strong analytical skillsExpert knowledge of JC and NCQA standards as well as federal and state regulations with regard to medical staff credentialingExcellent written and verbal communication skills organizational ability interpersonal skills and customer service orientationFoundational experience in quality improvement approaches such as LEANWe take great care of careersWith locations around the state Hartford HealthCare offers exciting opportunities for career development and growth Here you are part of an organization on the cutting edge ndash helping to bring new technologies breakthrough treatments and community education to countless men women and children We know that a thriving organization starts with thriving employees we provide a competitive benefits program designed to ensure worklife balance Every moment matters And this is your momentBachelorrsquos Degree is required Extensive experience may substitute for education Masterrsquos degree in health care related field or equivalent is preferredFive plus years of experience in Medical Staff Services with management experienceCPCS Certification is required CPMSM Certified professional Medical Staff Management from NAMSS certification is preferred Understanding of the credentialing and privileging processes for hospitals and ambulatory care settings and provider enrollmentAbility to work with multiple application specific databasesAdvanced knowledge of medical terminologyAbility to work within and promote a team environmentAbility to work on multiple projects and deadlines and to support medical staff leaders and functions Strong analytical skillsExpert knowledge of JC and NCQA standards as well as federal and state regulations with regard to medical staff credentialingExcellent written and verbal communication skills organizational ability interpersonal skills and customer service orientationFoundational experience in quality improvement approaches such as LEANWe take great care of careersWith locations around the state Hartford HealthCare offers exciting opportunities for career development and growth Here you are part of an organization on the cutting edge ndash helping to bring new technologies breakthrough treatments and community education to countless men women and children We know that a thriving organization starts with thriving employees we provide a competitive benefits program designed to ensure worklife balance Every moment matters And this is your moment
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