Manager of Credentialing Services at Samaritan Health Services – Corvallis, Oregon
Samaritan Health Services
Corvallis, Oregon, 97330, United States
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About This Position
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The Manager of Credentialing Services oversees the provider credentialing, recredentialing and provider enrollment for Samaritan Health Services and Samaritan Health Plans. This role ensures compliance with regulatory, accreditation, and payer requirements; leads department staff, and partners closely with operational and medical staff leaders to ensure accurate credentialing decisions. The manager is responsible for maintaining quality standards, reliable processes and ensuring that the department supports providers and patient safety and risk mitigation at Samaritan.
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Preferred candidates will reside in Oregon however, this position is eligible for work out of state. We are able to employ in the following states: Alabama, Alaska, Arizona, Arkansas, Connecticut, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Michigan, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Mexico, North Carolina, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, or Wisconsin
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DEPARTMENT DESCRIPTION
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The Credentialing Department at Samaritan Health Services credentials new and existing healthcare providers for employment, privileging and participation in Samaritan Health Plans. The credentialing process includes verification, documentation, and approval of a practitioner’s credentials and meets the requirements of The Centers for Medicare and Medicaid and our accrediting bodies.
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EXPERIENCE/EDUCATION/QUALIFICATIONS
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High School diploma or equivalent required.
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Five (5) years healthcare business process experience required.
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Three (3) years management experience required.
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Experience in Operational Process Improvement required.
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Experience or training with regulatory compliance as it applies to credentialing standards required.
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Management experience in a multi-facility organization preferred.
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Experience with Oregon credentiling requirements preferred
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KNOWLEDGE/SKILLS/ABILITIES
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Leadership - Inspires, motivates, and guides others toward accomplishing goals. Achieves desired results through effective people management.
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Conflict resolution - Influences others to build consensus and gain cooperation. Proactively resolves conflicts in a positive and constructive manner.
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Critical thinking – Identifies complex problems. Involves key parties, gathers pertinent data and considers various options in decision making process. Develops, evaluates and implements effective solutions.
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Communication and team building – Leads effectively with excellent verbal and written communication. Delegates and initiates/manages cross-functional teams and multi-disciplinary projects.
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PHYSICAL DEMANDS
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Rarely
(1 - 10% of the time)Occasionally
(11 - 33% of the time)Frequently
(34 - 66% of the time)Continually
(67 – 100% of the time)CLIMB - STAIRS
LIFT (Floor to Waist: 0"-36") 0-20 Lbs
LIFT (Knee to chest: 24"-54") 0 - 20 Lbs
LIFT (Waist to Eye: up to 54") 0 - 20 Lbs
CARRY 1-handed, 20 - 40 pounds
BEND FORWARD at waist
KNEEL (on knees)
STAND
WALK - LEVEL SURFACE
ROTATE TRUNK Standing
REACH - Upward
PUSH (0-20 pounds force)
PULL (0-20 pounds force)
SIT
CARRY 2-handed, 0 - 20 pounds
ROTATE TRUNK Sitting
REACH - Forward
MANUAL DEXTERITY Hands/wrists
FINGER DEXTERITY
PINCH Fingers
GRASP Hand/Fist
None specified
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Job Location
Corvallis, Oregon, 97330, United States
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