Director of Provider Credentialing
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Market Summary
Manages the verification process for contracted physicians, practitioners and nurses, including an initial review of verifications. May complete medical license applications for physicians, and performs follow-up with medical licensure boards on status of license applications. Initiates the process for ensuring malpractice coverage for all contracted providers.
Impact
• Accountability for a department or a domestic zone encompassing multiple domestic regions, which usually includes a limited number of teams led by other middle management positions.
• Executes short to mid-term (1-3 years) strategies and ownership of operational direction for the department or the domestic zone.
Communication
• Identifies, develops and manages relationships with internal and external stakeholders, and within and outside of own job function.
• Anticipates and influences client needs to deliver efficient and effective solutions.
Innovation
• Modifies and improves entire processes, systems or products using significant conceptualizing, reasoning and interpretation skills.
• Problems typically involve consideration of multiple sites, geographies, products or customers and are usually solved through drawing from prior experience and analysis of issues.
Knowledge
• Extensive professional experience (approximately 8-10 years), including substantial managerial experience, as well as in-depth knowledge of the market and competitors.
• Typically requires a bachelor's degree and 10+ years of overall, including at least 5 years of managerial experience.