Director, Centralized Verification Office

This position manages and directs the credentialing, re-credentialing, and ongoing monitoring operations of Premier Health Centralized Verification Organization (CVO) ensuring efficient, effective, and high-quality credentialing services. This includes development of criteria, policies, and procedures to enable the CVO to meet the credentialing and accreditation standards for the organization. The position continuously monitors the integrity of the provider database, Cactus and maintains CAQH applications imported into Credentialing Software.. The position provides support and oversight for the Medical Staff Services departments across the system and ensures that the needs of the Medical Staffs and respective committees are met. The Director is responsible for all Credentialing and Medical Staff activities and supervision of credentialing and medical staff personnel. The Director promotes a positive working relationship with internal and external customersEducation Minimum Level of Education Required: Bachelor's degree Additional requirements:§ Type of degree: N/A§ Area of study or major: N/A§ Preferred educational qualifications: N/A§ Position specific testing requirement: N/A Licensure/Certification/Registration § NAMSS certification preferred (CPMSM and/or CPCS) Experience Minimum Level of Experience Required: 5 - 7 years of job related experiencePrior job title or occupational experience: Healthcare. Medical Staff privileging/credentialing processes or managed care provider credentialing preferredPrior specific functional responsibilities: Experience with Cactus credentialing software system Preferred experience: General knowledge of both physician and mid-level practitioner credentialing process including TJC and NCQA accreditation standards.Other experience requirements: Experience in data analysis and report generation utilizing Windows‐based microcomputers