Palm Beach Accountable Care Organization · 2 months ago
Credentialing Manager
Palm Springs, FL
Full-time
Hybrid
Senior Level
$65K/yr - $75K/yr
5+ years expPalm Beach Accountable Care Organization is seeking an experienced Credentialing Manager to lead provider credentialing operations and ensure data integrity across multiple healthcare systems. This role involves overseeing provider data accuracy, developing compliance policies, and managing updates while collaborating with various departments to improve healthcare operations.
Health CareInformation Technology
Responsibilities
Oversee provider data accuracy and integrity across CRMs, PECOS, and population health systems through audits, reconciliations, and continuous updates
Develop, implement, and maintain internal credentialing and compliance policies
Prepare and present monthly reports on provider data, attribution, and compliance metrics
Ensure timely completion of HIPAA attestations, Security Risk Assessments, and staff training
Manage CMS and PECOS updates, including provider Adds/Removes and documentation submissions
Oversee legal documentation, provider participation agreements, and ACO contracts with accurate tracking and recordkeeping
Coordinate ACO-MS submissions and ensure compliance with MSSP and 4i program deadlines
Lead internal communications, newsletters, and organizational updates to ensure consistent messaging
Collaborate with Contracting, Compliance, and Data Analytics to align provider workflows and data accuracy
Create and maintain dashboards to track performance, productivity, and compliance goals
Lead CRM optimization, automation initiatives, and system enhancements to improve efficiency
Supervise credentialing staff, ensuring accountability, training, and performance management
Support onboarding/offboarding processes and assist with external hiring and growth projects
Drive process improvement and workflow automation to reduce manual credentialing tasks
Qualification
Required
Bachelor's degree in Healthcare Administration, Business, or related field
5+ years of experience in healthcare operations, provider data management, or network administration
2+ years of leadership or supervisory experience
Strong Microsoft Excel and data analysis skills
Excellent written, verbal, and interpersonal communication abilities
Proven experience implementing workflow improvements and compliance initiatives
Preferred
Master's degree
Knowledge of PECOS, CMS provider assignment, and ACO attribution
Proficiency in Salesforce, ACT!, or similar CRMs
Company
Palm Beach Accountable Care Organization
Palm Beach Accountable Care Organization physicians have identified prevention as a key factor in improving overall patient health.
51-200 employees
Funding
Current Stage
Growth StageLeadership Team
Amanda Larschan, MHA, PMP
Chief Data Officer
Company data provided by crunchbase