Manager Medical Staff Admin | Medical Staff Administration | Gainesville
: Job Details :

Overview:

Manages the credentialing and provider enrollment function for Shands HealthCare to assure that all Medical Staff and Allied Health Professional staff providing medical care or treatment of patients throughout the Shands HealthCare System are continually credentialed in accordance with all statutory and accreditation requirements, and appropriately enrolled with federal, state, and managed care payers. Prepares committee meeting agendas, packets and minutes. Directly manages the credentialing analysts in the department to ensure timely credentialing and that all regulatory requirements are met. Serves as a liaison to clinical and administrative departments for all credentialing matters, including, audits and regulatory surveys.

Qualifications:

Minimum Education and Experience Requirements:Masters degree in Health Administration, Business Administration, Public Health, or Information Technology or Bachelors degree required and two years relevant work experience, preferably in healthcare organizations. . Management experience preferred. Must possess excellent verbal and written communication skills. organizational skills and an ability to handle multiple priorities and direct the work of other credentialing staff. Experience in computer applications, including Microsoft applications and credentialing databases. Preferred knowledge in National Committee for Quality Assurance (NCQA) and The Joint Commission (TJC) Standards, as well as federal, state, and managed care enrollment requirements.Motor Vehicle Operator Designation:Employees in this position:Will operate vehicles for an assigned business purpose as a non-frequent driver NOTE: A frequent driver is defined as one who uses his/her personal or Shands automobile a) at least once daily, b) at least five individual trips per week or c) drives, on average, over 150 miles per week in the performance of his/her job. Please indicate the appropriate operator designation on the Request for Personnel (RFP) form at the time a RFP is submitted to post the position.Licensure/Certification/Registration:Certification as Certified Professional Medical Staff Management and/or Certified Provider Credentialing Specialist preferred.