Adventist Health · 8 hours ago
Manager, Centralized Verification Organization - Onsite
Roseville, CA
Full-time
Onsite
Mid, Senior Level
5+ years expAdventist Health is a faith-based, nonprofit, integrated health system serving over 100 communities on the West Coast and Hawaii. The Manager of the Centralized Verification Organization will oversee credentialing operations, manage workflow, and ensure compliance with regulatory standards while fostering employee productivity.
Non ProfitFamily & CareHealthcareWellnessHospitalElder CareHealth CareMedical
Responsibilities
Manages Centralized Verification Organization's (CVO) credentialing operations
Manages and monitors workflow design, work allocation, training, promotion, enforcement of internal procedures and controls, and problem resolution
Evaluates performance and makes recommendations for personnel actions
Motivates employees to achieve peak productivity and performance
Acts as subject matter expert as a solution driven leader with focus on streamlined processes and the provider experience
Monitors and manages turnaround times for processing of credentials applications and has overall accountability for focus on delivery of a high quality product, with the greatest efficiency, in the least amount of time
Ensure expirables (licenses, DEAs, malpractice coverage, etc.) are kept current and ongoing monitoring is conducted, and status is reported to markets
Manages and reports operational metrics
Ensures that the CVO achieves and maintains NCQA certification including leading the biannual survey effort
Maintains strong knowledge of regulatory body requirements that include The Joint Commission (TJC), California Department of Health (CDPH), Centers for Medicare & Medicaid Services (CMS), and the National Committee on Quality Assurance (NCQA)
Develops and reviews CVO operating policies and procedures, and delegates credentialing policies and procedures
Develops, recommends, and/or implements changes, revisions, and enhancements as appropriate
Maintains strong customer relationships with market leaders, and ensures their understanding of their role in the credentialing process
Performs other job-related duties as assigned
Qualification
Required
Bachelor's Degree in business, information management, health administration or related field or equivalent combination of education/related experience
NAMSS Certified Provider Credentialing Specialist (CPCS)
NAMSS Certified Professional Medical Services Management (CPMSM) within 2 years of employment
Preferred
Master's Degree
Five years' relevant experience
One year's leadership experience
Company
Adventist Health
Adventist Health is a Adventist Health is a not-for-profit health care organization .
10001+ employees
Funding
Current Stage
Late StageLeadership Team
Gwen Mathews
CEO Ukiah Valley Medical Center, SrVP Operations AH Northern Cal Network
Kerry L. Heinrich
President and CEO
Recent News
The Business Journal
2025-12-11
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2025-11-13
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