Senior Manager, Credentialing

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🔥 0 minutes ago

🤠 Texas – Remote

🤠 Texas – Remote

💵 $75.4k - $166k / year

⏰ Full Time

🟠 Senior

👔 Manager

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CVS Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1963

⚕️ Healthcare Insurance

🛒 Retail

🧘 Wellness

Healthcare Insurance • Retail • Wellness

CVS Health is a leading American healthcare company dedicated to improving health access and affordability. The company focuses on a comprehensive approach that includes health services, health insurance, and pharmacy benefits management. Through its subsidiaries, such as Aetna and CVS Caremark, CVS Health offers a range of services that facilitate wellness, condition management, and affordable prescription drug coverage. CVS Health operates neighborhood pharmacies, provides mail-order pharmacy services, and manages specialty medication programs, aiming to make healthcare convenient and accessible for everyone. Driven by a mission to connect people with essential care services, CVS Health is committed to fostering healthier communities and supporting the wellbeing of all individuals.

📋 Description

• Lead a high-impact Credentialing Operations unit dedicated to accelerating clinician "speed-to-market." • Formulate and implement a forward-looking strategy for the Credentialing Operations unit. • Serve as the final point of resolution for complex, high-priority credentialing issues. • Analyze the efficacy of credentialing programs, utilizing business intelligence. • Drive a sophisticated audit and rebuttal framework. • Act as the primary operational liaison to Network Management, Provider Relations, and Tech teams. • Manage all operational facets of the team, including budget, performance metrics, and compliance. • Ensure all credentialing strategies maintain strict alignment with regulatory standards.

🎯 Requirements

• A Bachelor's degree is preferred (Healthcare Administration, Health Information Management, Public Health, Health Services, Business Administration, or related fields). • Specialized training or relevant professional experience will also be considered • 5+ years of leadership experience in a high-volume credentialing or medical staff services environment • Mastery of Strategic Problem Solving: Exceptional ability to navigate "gray areas" and make high-consequence decisions under pressure • Adept at Business Intelligence: Skilled at using data to forecast "time-to-credential" and identify long-poles in the onboarding funnel • Growth Mindset & Agility: Proven track record of developing talent and evolving organizational structures to meet the demands of a high-growth healthcare environment • Executive Presence: Professional demeanor capable of influencing senior leadership and resolving sensitive provider issues with diplomacy and authority.

🏖️ Benefits

• medical, dental, and vision coverage • paid time off • retirement savings options • wellness programs • comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families