CVO Manager

This is a fully remote position, open to applicants in Michigan.

📋 Description

• Oversee all operational functions of the Trinity Central Verification Office Reappointment Team.

• Ensure operations are efficient and effective while adhering to CMS, TJC, NCQA, NPDB, and other regulatory standards.

• Directly supervise and manage the performance of the CVO file processing team.

• Handle reappointment credentialing for Trinity RHMs, healthcare entities, and managed care organizations.

• Monitor departmental budget and staffing levels; aim to minimize redundant work and operate within financial constraints.

• Prepare and review regular and special reports to fulfill departmental objectives and regulatory obligations.

• Develop staffing plans and oversee hiring, onboarding, training, performance management, and departmental goals.

• Deliver in-service training on credentialing standards and facilitate ongoing education for staff.

• Plan office activities and projects; supervise personnel engaged in project completion and task execution.

• Sustain a quality provider network through initial credentialing and recredentialing processes.

• Design and implement process improvements to enhance credentialing operations.

• Manage database upkeep for practitioner information and privileges.

• Enforce policies and procedures that support services for RHMs, CINs, ACOs, and MCOs with delegated credentialing agreements.

• Cultivate and maintain positive customer relationships and satisfaction benchmarks.

• Develop, assess, and revise credentialing policies and procedures to ensure compliance with Trinity and MCO quality management standards.

• Create strategies for centralized credentialing processes.

• Facilitate the upkeep of facilities, office equipment, and contracted services.

• Foster collaborative relationships with hospital administrative staff, MCO support personnel, and internal department staff.

• Safeguard the confidentiality of patient, physician, employee, and visitor information.

• Stay informed about relevant laws, regulations, Trinity compliance programs, and policies.

• Travel to various Trinity Health locations as required.

⛳️ Requirements

• In-depth knowledge of credentialing and privileging, acquired through a Bachelor’s degree or an equivalent combination of education, training, and/or experience in healthcare administration or a related field.

• Five (5) to seven (7) years of experience in healthcare, including knowledge of managed care principles and integrated delivery systems.

• Current eligibility for CPCS and/or CPMSM certification from the National Association Medical Staff Services; certification must be obtained within one year of hire.

• Excellent written and verbal communication skills, active listening abilities, and consideration of diverse perspectives.

• Strong statistical, analytical, and problem-solving capabilities.

• Capacity to deliver quality service to others.

• Ability to prioritize and coordinate multiple activities/projects at once.

• Exceptional organizational skills, attention to detail, and thoroughness.

• Ability to work independently, prioritize tasks, and manage various responsibilities.

• Comfortable working both autonomously and as part of a team.

• Ability to thrive in a collaborative, shared leadership context.

• Demonstrated honesty, integrity, compassion, and the ability to inspire and motivate others.

• Preferred prior management/leadership experience in a healthcare setting.

• Experience with MD Staff is a plus.

• Must be willing to travel to various Trinity Health locations as needed.

• Ability to perform effectively during high-pressure situations while maintaining a flexible and positive demeanor.

🏝️ Benefits

• Opportunities for professional development and continuing education.

• Professional affiliations to stay informed about healthcare trends, changes, regulations, and legislation.

• Equal Opportunity Employer.