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Program Manager- Credentialing

Cambridge, MA

Program Manager- Credentialing Cambridge, MA 55-60k • Responsible for initiating, monitoring and reporting the verification processes for medical staff providers, both physicians and advanced practice staff. • Processes applications for initial appointments and reappointments to the Medical Staff • Works closely with the Hospital and Physician organization teams to ensure adherence to the requirements of the credentialing process, regulatory and accreditation agencies and manages issues that a relevant to the Medical staff. • Conducts follow-up on missing data. • Informs providers, Chairs, and department leaders of the status of the credentialing and verification process. • Serves as a liaison with internal and external customers as it relates to provider related issues and/or concerns • Manages and interfaces with outside credentials verification organization (CVO) to manage primary source verification and initial processing • Processes requests from other hospitals, payers, providers systems as needed regarding requests for Medical Staff verification • Provides administrative support to the Medical Staff officers, Medical Staff Executive Committee and Credentials Committee • Maintains accurate records pertaining to malpractice insurance for all credentialed staff • Responsible for accounting of all payments received and expenses for the Medical Staff Treasurer • Maintains provider records for review by The Joint Commission and any external regulatory agencies • Maintains database in credentialing software with current information on credentialing, privileges, and staff category • Collaborates with Division of Quality and Performance Measurement in the Department of Quality and Safety to collect FPPE and OPPE data • Responsible for coordinating the annual budget for the Medical Staff Office for review by the Chair, Quality and Safety and for managing the budget throughout the year.

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Posted on Aug 05, 2022

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We have offices are conveniently located in:

Dedham, MA
450 Washington Street
Suite LL5
Dedham, MA 02026
(781) 329-2660
(781) 329-9918 FAX

Burlington, MA
27 Cambridge Street
Burlington, MA 01803
(781) 270-4400
(781) 229-6814 FAX