American Vision Partners

Manager, Credentialing & Licensing

Job Locations US-AZ-TEMPE
ID 2024-2886
Category
Credentialing
Position Type
Full-Time

Company Intro

At American Vision Partners (AVP), we partner with the most respected ophthalmology practices in the country and integrate best-in-class management systems, operational infrastructure, and advanced technology to provide the highest quality patient care possible. Our practices include Barnet Dulaney Perkins Eye Center, Southwestern Eye Center, Retinal Consultants of Arizona, M&M Eye Institute, Abrams Eye Institute, Southwest Eye Institute, Aiello Eye Institute, Moretsky Cassidy Vision Correction, Wellish Vision Institute, West Texas Eye Associates and Vantage Eye Center. We are focused on building the nation’s largest and most comprehensive eye care practices and currently operate more than 120 eye care centers in Arizona, New Mexico, Nevada, California and Texas – including 25 ambulatory surgical centers.

At AVP we value teamwork, providing exceptional experiences, continuous improvement, financial strength, and hard work. We are committed to providing best-in-class patient care, pioneering research and technology, and most importantly, rewarding and recognizing our employees!

Overview

This position directly manages the facility credentialing, provider privileging and licensing processes of

individual providers, physician clinics and ambulatory surgery centers. The position provides direct

supervision to the credentialing specialists.

Responsibilities

1. Provides leadership and management expertise to the Credentialing department.

2. Plans, organizes, directs and effectively manages the responsibility for overseeing the day-to-day

operations of the Credentialing teams by creating a positive environment that encourages staff to

perform at their highest potential.

3. Oversees the hiring, training, and supervision of department staff. Ensures that department policies

are fairly administered by overseeing corrective action process, employee training, mentoring and

coaching employees and supervisors as well as completing performance reviews.

4. Ensures departmental standards by efficiently setting goals and objectives, assisting with the

prioritization of work, and using available resources.

5. Initiates and facilitates the Credentialing process for existing and new locations including

acquisitions.

6. Communicate regularly with local, state and national agencies and know when and how to

appropriately escalate issues for resolution.

7. Communicates performance data and action plans to leadership.

8. Maintains and analyzes department statistics on work volume, productivity and accuracy for use in

long-range planning.Credentialing & Licensing –Manager

9. Manages the processing and submission of facility and provider applications with the agencies and

hospitals in a timely and accurate manner.

10. Accountable for establishing, contributing, and implementation of standards applicable to provider

staff relating to credentialing and administrative functions in compliance with credentialing, licensing

and accreditation requirements.

11. Effectively does own due diligence and research and establishes solutions to bridge gaps in work

processes that have disconnected due to turnovers, staff shortages or other extenuating

circumstances.

12. Works without boundaries and advances own knowledge of other processes outside of the

immediate job responsibilities. Maintains positive leadership and gives frequent performance

feedback, and encourages two-way participation and ideas.

13. Provides a collegial environment which fosters teamwork within the department’s teams and as well

as other inter-organization departments.

14. Conducts self-audits and provides reports and important information to department director

continuously and timely.

15. Prepares key credentialing operational reports for internal customers that drive business decisions

and impact strategic planning.

16. Maintains comprehensive knowledge of both state and federal requirements to ensure that all legal,

licensure and accreditation standards, due dates and deadlines are met.

17. Assures credentialing activities are integrated within the appropriate organization’s committees and

departments.

18. Responsible for hiring, training, coaching, reviewing job performance and counseling all direct

report staff. Provides coaching to employees when needs are identified, holding employees

accountable for results through coaching and development of action plans.

19. Performs all other assigned duties.

Qualifications

 

● Bachelor's degree or equivalent combination of education and experience which would provide required knowledge

● Requires 5 or more years in a supervisory or leadership role

● Requires at least 5 years experience in credentialing & privileging

● Previous experience in ASC licensing

● Current Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Staff

Management (CPMSM) with the National Association of Medical Staff Services is required to

effectively understand and apply credentialing processing, standards and guidelines

● Previous experience with AAAHC accreditation

Benefits & Perks

Your health, happiness and your future matters! At AVP, we offer everything medical and dental insurance, significant eye care discounts, child care assistance, pet insurance, continuing education funds, 401(k), paid holidays plus PTO, Sick Time, opportunity for growth, and much more!

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