Manager, Credentialing

Manager, Credentialing

The Aspen Group (TAG) is one of the largest and most trusted retail healthcare business support organizations in the U.S. and has supported over 20,000 healthcare professionals and team members with close to 1,500 health and wellness offices across 48 states in four distinct categories : dental care, urgent care, medical aesthetics, and animal health. Working in partnership with independent practice owners and clinicians, the team is united by a single purpose : to prove that healthcare can be better and smarter for everyone. TAG provides a comprehensive suite of centralized business support services that power the impact of five consumer-facing businesses : Aspen Dental, ClearChoice Dental Implant Centers, WellNow Urgent Care, Chapter Aesthetic Studio, and Lovet Pet Health Care. Each brand has access to a deep community of experts, tools and resources to grow their practices, and an unwavering commitment to delivering high-quality consumer healthcare experiences at scale. As a reflection of our current needs and planned growth we are very pleased to offer a new opportunity to join our dedicated team as Manager, Credentialing.

Job Summary

The Manager of Provider Credentialing plays a vital role within our Payor Strategy Team. The successful candidate will report to the Director of Credentialing.

Essential Responsibilities

• Responsible for leading team of Credentialing Specialists
• Lead team of 10+ Credentialing Specialists that oversee all Provider Credentialing for Aspen Dental.
• Organizes + leads the Credentialing Committee weekly.
• Ensure that all licensure, certification, and CME is updated and active for all clinical and ancillary staff.
• Supervises, plans, directs, coordinates, and evaluates the work product of team members.
• Supervise and assist new providers with obtaining required clinical licenses and coordinates the full cycle onboarding.
• Establish policies, procedures, toolkits, and best practices necessary for successful provider onboarding, including established timeframes, required documentation, and checklists.
• Supervises the maintenance and monitoring all licenses and certifications.
• Supervised the coordination of provider enrollment activities (including initial credentialing or re-credentialing) for all providers.
• Ensure all facilities / practitioner licenses and certifications are accurate and in good standing at all times.
• Ensure that all processing and reporting deadlines are consistently achieved.
• Responds to requests from management / staff / providers / outside entities related to credentialing of practitioners.
• Other duties as assigned.

Experience

Bachelor's degree (or required experience) CPCS or CPMSM certified strongly preferred. 5-7 years of progressively responsible management or supervisory level credentialing experience in a health care setting with at least three (3) of these years' experience in a medium to large health system. Excellent verbal & written communications Excellent time management, prioritization, and organizational skills a must. Detail oriented with a strong level of analytical, and problem-solving skills. Proficient use of Microsoft Office Suite. Ability to work independently and proactively in a fast-paced, dynamic environment. Highly self-motivated, directed and proactive. Flexible and adaptable in regard to learning and understanding new technologies. Able to communicate effectively within department and with members of interdisciplinary teams. Demonstrates ability to lead, manage and motivate teams. In depth knowledge of credentialing + NCQA Standards Proven analytical and problem-solving abilities. Experience with credentialing software preferred. Annual Salary Range : $75-85k, with a generous benefits package that includes paid time off, health, dental, vision, and 401(k) savings plan with match.