CVO Manager

🔥 2 minutes ago

🚗 Michigan – Remote

🚗 Michigan – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

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Trinity Health

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

📚 Education

🤝 Non-profit

Healthcare • Education • Non-profit

Trinity Health is a Christian K-12 educational institution located in Wichita, Kansas, dedicated to providing a Christ-centered education that nurtures spiritual growth and academic excellence. The academy emphasizes the importance of faith in students' lives, integrating spiritual development with rigorous academic programs and a broad array of extracurricular activities, including athletics and fine arts. Trinity Health fosters a supportive community where teachers and families collaborate to help students develop a personal relationship with Jesus Christ and excel in their studies.

📋 Description

• Manage all operational aspects of the Trinity Central Verification Office Reappointment Team • Ensure efficient and effective operations in compliance with CMS, TJC, NCQA, NPDB, and other regulatory requirements • Directly oversee and manage the performance of the CVO file processing team • Manage reappointment credentialing for Trinity RHMs, healthcare entities, and managed care organizations • Monitor the department budget and staffing levels; reduce duplicate work and operate within budget • Create and review periodic and special reports to meet departmental goals and regulatory requirements • Establish staffing plans and manage hiring, orientation, training, performance management, and department goals • Provide credentialing standards in-service training and facilitate continuing education for staff • Plan office activities and work projects; supervise personnel completing projects and duties • Maintain a quality provider network through initial credentialing and re-credentialing activities • Develop and implement process changes to improve credentialing functions • Oversee database maintenance for practitioner information and privileges • Implement policies and procedures supporting services for RHMs, CINs, ACOs, and MCOs with delegated credentialing agreements • Develop and maintain positive customer relationships and satisfaction standards • Develop, review, and revise credentialing policies and procedures for compliance with Trinity and MCO quality management requirements • Establish strategies for centralized credentialing processes • Facilitate maintenance of facilities, office equipment, and contracted services • Promote collaborative relationships with hospital administrative staff, MCO support staff, and internal department staff • Maintain confidentiality of patient, physician, employee, and visitor information • Maintain knowledge of applicable laws, regulations, Trinity compliance programs, and policies • Travel to various Trinity Health sites as needed

🎯 Requirements

• Comprehensive knowledge of credentialing and privileging, obtained through a Bachelor's degree or equivalent combination of education, training, and/or experience in health care administration or a related field • Five (5) to seven (7) years of health care experience, including familiarity with managed care concepts and integrated delivery systems • Current CPCS and/or CPMSM eligibility by the National Association Medical Staff Services; certification required within one year of hire • Strong written and verbal communication skills, active listening, and consideration of varying viewpoints • Strong statistical, analytical, and problem-solving skills • Ability to provide quality service to others • Ability to prioritize and coordinate multiple activities/projects simultaneously • Strong organizational skills, attention to detail, and thoroughness • Ability to work independently, prioritize, and handle multiple responsibilities • Ability to work autonomously and within a team environment • Comfort operating in a collaborative, shared leadership environment • Honesty, integrity, caring, and ability to inspire and motivate others • Prior management/leadership experience within a healthcare environment, preferred • Experience with MD Staff, a plus • Must be able to travel to various Trinity Health sites as needed • Ability to complete work during high-pressure periods while maintaining flexibility and a pleasant attitude

🏖️ Benefits

• Professional development programs and continuing educational opportunities • Professional affiliations to keep abreast of health care trends, changes, regulations, and legislation • Equal Opportunity Employer

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