Place of Business:
MHMR of Tarrant County

Position Description:
As the Credentialing Manager you will be responsible for managing a team of credentialing specialists and daily functions. Accountable for systems and processes that ensure compliance with organizational credentialing policies and procedures. Ensures compliance with the credentialing requirements of MHMR’s health plan partners, and related regulatory and accrediting agency requirements.

Duties & Responsibilities:

A) Manage the credentialing and re-credentialing process for Providers, including primary source verification, notification of requirements, coordination with other departments, and proper documentation.

B) Oversee the privileging process by developing and maintaining application packets and procedures, ensuring compliance with agency guidelines.

C) Coordinate and chair credentialing committee meetings, preparing agendas, analyzing applications, and facilitating discussions on issues identified through various feedback channels.

D) Provide consultation, training, and resource information to programs/contractors as needed, and participate in Quality Management and other committee meetings.

E) Maintain proficiency in computer software applications specific to credentialing functions and provide training to the team.

F) Assist with external audit preparation, coordinate improvement plans, and participate in surveys and evaluations for outside agencies as assigned.

G) Qualify applications, resumes, and bids by evaluating minimum qualifications, obtaining transcripts, and reviewing personnel files for transfers/promotions.

H) Demonstrate professionalism and discretion while organizing and participating in interdisciplinary meetings to improve communication and collaboration.

I) Execute strategic plans effectively and maintain compliance with MHMR Tarrant and agency guidelines throughout all processes.

J) Performance standards are performed as applicable with MHMR’s We CARE values “We Connect People in Our Community. We Provide Access to Services. We Link People to Resources. We Empower People.”

K) Performs other job duties or responsibilities as requested or assigned.

Minimum Education: Bachelor’s Degree

Defined Education: Business, Human Resources, Healthcare Administration, Health and Human Services, Behavioral Science or a related field.

Preferences: None

Substitutions: Master’s Degree with two (2) years’ experience and two (2) years supervisory experience

Years’ Experience: Four (4) years

Defined Experience: Experience doing credentialing in a human services agency, Community Center, healthcare facility, academic or research setting.

License/Certifications: Valid Texas Driver’s License; CPMSM – NAMMS (Certified Professional Services Management from the National Association of Medical Staff Services), required or must obtain within one year of hire.

Special Courses: None

Supervisory Experience: Two (2) years

Salary:
70,000.00

Click here to apply.