Privileging Manager – Healthcare

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

📋 Description

• Lead a team that is responsible for securing and maintaining hospital privileges for Physicians, Nurse Practitioners, and Physician Assistants.

• Provide exceptional service to the operations team, ensuring that providers are privileged in a timely and appropriate manner.

• Manage departmental priorities to effectively address business objectives and operational challenges.

• Report team performance and metrics to senior management.

• Guarantee that all required privileges are upheld 100% of the time.

• Research and analyze complex issues related to provider privileging.

• Foster relationships with both internal and external stakeholders.

• Oversee Credentialing Agreements, which includes initial discussions, agreement initiation, and the maintenance of executed agreements.

• Evaluate and enhance privileging processes to reduce turnaround times.

• Allocate assignments and oversee workload distribution.

• Create policies and guidelines, ensuring consistent implementation across the department.

• Engage in necessary education and training sessions.

• Adhere to HIPAA regulations, Corporate Compliance program policies, and other relevant policies.

• Directly supervise staff, including assigning tasks, coaching, and managing performance.

• Mentor and develop direct reports, including assisting in their career path development.

• Implement progressive discipline and corrective actions as needed.

• Conduct formal performance evaluations and create improvement plans.

• Manage payroll activities for direct reports, including timekeeping and time-off approvals.

• Perform additional duties as assigned.

⛳️ Requirements

• An associate or bachelor’s degree is preferred.

• A minimum of 5+ years of experience in physician credentialing or licensing is required.

• Management experience is preferred.

• Familiarity with credentialing accreditation regulations, policies, procedures, and Joint Commission Standards is essential.

• CPCS or CPCSM certification is preferred.

• Ability to collaborate and deliver outstanding customer service through both verbal and written communication with internal customers, hospitals, and vendors in a diverse and distributed team environment.

• Proficiency in Microsoft Office programs and communication and collaboration tools across various operating systems.

• Capability to juggle multiple projects simultaneously while maintaining attention to detail.

• Understanding of medical terminology is necessary.

• Ability to operate effectively under deadlines and self-manage numerous projects at once.

• Strong analytical, organizational, and time management skills are required.

• Flexibility and the ability to adapt in a fast-paced environment.

• Capacity to thrive in a high-growth, fast-paced organization within a fully remote setting.

• Must be capable of remaining in a stationary position for 50% of the time.

🏝️ Benefits

• Health Insurance (Medical, Dental, Vision).

• Life insurance.

• 401(k).

• Flexible vacation and wellness days.

• Culture of ownership, transparency, and results.

• Opportunity to directly impact patient access nationwide.

• Up to 4 interviews via Zoom.