VP - Client Services
WNS
Salary
💰 $75,000 - $90,000 per year
Job Level
SeniorLead
About the role
- Ensure all new and existing providers possess the required credentials and licenses to operate compliantly and safely on the H&H platform, and keep credentials up to date
- Perform regular data reconciliations to monitor credentialing related data integrity between multiple provider data management systems
- Own the licensing process for the associated medical group by working externally with a third-party service provider to apply for, track, and obtain additional licenses for members of the care team
- Work closely with Credentialing Manager and cross-functional partners to perform research and develop updated processes and policies to maintain compliance with changing state requirements for licensing, credentialing, and collaborative practice agreements
- Provide coverage to team members who manage, resolve, or escalate credentialing related support issues through ZenDesk; identify common themes and develop processes to improve the provider experience
- Coordinate and deepen relationships with external third-party service providers to analyze, iterate, and document processes, providing recommendations for improving efficiencies for licensing and credentialing
- Audit files to verify compliance with NCQA, state-level, and internal requirements for providers to practice through the H&H platform
- Work cross-functionally with the Recruiting and Provider Success teams to streamline and support credentialing processes related to provider onboarding
- Work with the Credentialing Manager to analyze, recommend improvements, lead projects, and continually strengthen the credentialing program
Requirements
- Bachelor’s Degree preferred and a minimum of seven (7) years experience in credentialing and/or analyzing and reporting on operations and metrics
- 7+ years of experience working in a fast-paced credentialing environment
- Experience analyzing and reporting on the operations and metrics of credentialing
- Be comfortable navigating data platforms to independently query, manipulate, and reconcile large data sets to ensure data integrity across multiple systems
- Comfortable working in spreadsheets, querying and manipulating large data sets to perform reconciliations, performing audits, and monitoring performance dashboards
- Experience in leading cross-functional process improvement projects
- Ability to plan and prioritize to meet deadlines; with the ability to re-prioritize as needed
- Exceptional communication skills - both written and verbal, listening effectively and asking questions when clarification is needed
- Must be a self-starter with a strong attention to detail
- Excellent computer skills including Excel, Word, Google Suite, and Internet use
- Experience applying for and obtaining licenses for healthcare professionals (preferred)
- Knowledge of credentialing accreditation regulations, policies and procedures, and NCQA standards (preferred)
- Legally authorized to work in the U.S. (application asks about U.S. work authorization)
