Director Credentialing and Professional Services

Credentialing Office Manager

Be part of a multidisciplinary team built with compassion and the goal of moving health forward for you and our patients. Work where you matter.

Provides leadership, management, and operational oversight of the System Credentialing Office and related professional services that support medical staff. This role ensures that all governance, credentialing, and regulatory compliance activities are effectively coordinated and aligned with system and medical staff goals. The role requires strong leadership, collaboration, and knowledge of healthcare regulations and best practices.

What you will do :

• Serves as primary liaison with the outsourced Credentialing Verification Organization (CVO), escalating and resolving issues in partnership with CVO leadership. Monitors CVO performance against service level agreements (SLAs), turnaround times, and quality expectations.
• Oversees the accuracy and integrity of provider data within credentialing system and ensures timely updates by hospitals and clients.
• Oversees standardization and execution of credentialing processes across the system. Ensures credentialing and recredentialing activities meet federal, state, and accreditation standards.
• Works closely with medical staff leaders, department chairs, and committees. Supports the System Credentialing Committee, including preparation and follow-up on committee outputs.
• Develops and leads initiatives that result in physician satisfaction with credentialing processes and professional services of medical staff office.
• Effectively maximizes technology to improve accuracy and efficiency.
• Coordinates with other departments to resolve credentialing issues.
• Supports medical staff governance and quality improvement initiatives.
• Supports System Peer Review committee and resulting outputs of peer review.
• Serves as business owner of relationships, contracts, and billing for credentialing clients, including owned and leased hospitals, partner hospitals, and non-Avera clients.
• Responsibilities include interviewing, hiring, developing, training, and retaining employees; planning, assigning, and leading work; appraising performance; rewarding and coaching employees; addressing complaints and resolving problems.

Essential Qualifications :

Required Education, License / Certification, or Work Experience :

Preferred Education, License / Certification, or Work Experience :

Expectations and Standards :

Benefits You Need & Then Some :

Avera is an Equal Opportunity Employer - Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, Veteran Status, or other categories protected by law. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-605-504-4444 or send an email to talent@avera.org.

At Avera, the way you are treated as an employee translates into the compassionate care you deliver to patients and team members. Because we consider health care a ministry, you can live out your faith, uphold the dignity and respect of all persons while not compromising high-quality services. Join us in making a positive impact on moving health forward. The policy of Avera to provide opportunities for all qualified employees or applicants without regard to disability and to provide reasonable accommodations for all employees or applicants who may be disabled. Avera is committed to ensuring compliance in accordance with the Americans with Disability Act. For assistance, please contact HR Now at 605-504-4444. Additional Notices : For TTY, dial 711.