Director of Provider Credentialing

Market Summary
Manages the verification process for contracted physicians, practitioners and nurses, including an initial review of verifications. May complete medical license applications for physicians, and performs follow-up with medical licensure boards on status of license applications. Initiates the process for ensuring malpractice coverage for all contracted providers.

Impact
• Accountability for a department or a domestic zone encompassing multiple domestic regions, which usually includes a limited number of teams led by other middle management positions.
• Executes short to mid-term (1-3 years) strategies and ownership of operational direction for the department or the domestic zone.

Communication
• Identifies, develops and manages relationships with internal and external stakeholders, and within and outside of own job function.
• Anticipates and influences client needs to deliver efficient and effective solutions.

Innovation
• Modifies and improves entire processes, systems or products using significant conceptualizing, reasoning and interpretation skills.
• Problems typically involve consideration of multiple sites, geographies, products or customers and are usually solved through drawing from prior experience and analysis of issues.

Knowledge
• Extensive professional experience (approximately 8-10 years), including substantial managerial experience, as well as in-depth knowledge of the market and competitors.
• Typically requires a bachelor's degree and 10+ years of overall, including at least 5 years of managerial experience.