Hybrid Full-time

CVS Health / Oak Street Health is hiring a Senior Credentialing Operations Manager

About the Role

CVS Health is hiring a Senior Credentialing Operations Manager to lead a business services unit delivering credentialing services. You will be responsible for managing a team of up to 20 employees and the operational aspects of the unit, including budget, performance, and compliance, to support organizational objectives.

What You'll Do

  • Communicate direction for Credentialing Operations processes to managers, supervisors, and individual contributors.
  • Analyze the performance of company programs and initiatives to assess progress against goals.
  • Formulate and implement strategy for the credentialing operations unit to support business objectives.
  • Counsel internal and external stakeholders on business review and credentialing services projects and issues.
  • Drive the audit process including error correction and rebuttal.
  • Review audit results for accuracy and provide guidance on items with critical business implications.
  • Partner with network management, provider relations, provider services, health delivery associates, and other cross functional areas to manage provider/producer issues.
  • Manage operational aspects of the team (e.g., budget, performance, and compliance).
  • Implement workforce and succession plans to meet business needs.

What We're Looking For

  • A minimum of 5 years working with provider data, network, relations, or credentialing.
  • A minimum of 3 years managing/leading a team.
  • Experience working in Medicare, Medicaid, or Commercial Health Insurance.

Nice to Have

  • Experience working in credentialing operations.
  • Strong written and verbal communication.

Team & Environment

You will lead a team of up to 20 employees, managing operational aspects and driving strategic initiatives.

Benefits & Compensation

  • Compensation Range: $67,900.00 - $199,144.00 + equity award target.
  • Affordable medical plan options.
  • 401(k) plan with matching company contributions.
  • Employee stock purchase plan.
  • No-cost programs for all colleagues including wellness screenings, tobacco cessation, weight management, confidential counseling, and financial coaching.
  • Paid time off.
  • Flexible work schedules.
  • Family leave and dependent care resources.
  • Colleague assistance programs.
  • Tuition assistance.
  • Retiree medical access.

CVS Health is committed to fostering a workplace where every colleague feels valued and that they belong. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Required Skills
Credentialing OperationsProvider Data ManagementProcess ImprovementTeam LeadershipVendor ManagementComplianceMedicare/MedicaidCAQHNPDBPerformance MetricsStakeholder Communication
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About company
CVS Health / Oak Street Health

CVS Health is the nation's leading health solutions company, reaching millions of Americans through local presence, digital channels and more than 300,000 purpose-driven colleagues. Oak Street Health is an innovative network of neighborhood primary care centers.

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Job Details
Category management
Posted 7 months ago