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Supervisor, Credentialing
Ref No.: 17-28190
Location: Tampa, Florida, Florida
Position Purpose: Supervise the daily operations of the credentialing function and provide guidance and performance feedback to staff
· Oversee the credentialing and re-credentialing process for assigned business units
· Oversee staff including performance management activities
· Serve as the subject matter expert for activities related to credentialing
· Investigate and resolve complex credentialing issues
· Be an active participant in departmental planning initiatives to improve quality, efficiency, and overall departmental effectiveness
· Provide training to team members to ensure accurate and timely and credentialing of providers
· Prepare materials and facilitate Credentialing Committee meetings
· Collaborate on facilitation of Clean Committee process
· Monitoring performance to ensure credentialing quality benchmarks are met
· Assist with and as needed, represent Credentialing during preparation and reviews associated with audit activity (e.g., NCQA, EQRO, Internal Audit)
· Ability to thrive in a fast-paced environment and collaborate effectively within and across departmental lines
Education/Experience: Bachelor's degree in related field or equivalent experience. 3+ years of combined management and provider data management, credentialing or healthcare operations (i.e. claims processing, billing, provider relations or contracting) experience, preferably in a managed care or insurance environment.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
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More Information About the Job
Is Relocation Available?
Is there a bonus structure?
Are you open to sponsorship?
This position is:
New Position
Is there a possibility to work remote?
Is there equity?
Are there flexible work hours?
Does this position have direct reports?
Who does this position report to?
Renee Holmes, Manager, Credentialing
What are the 3-4 non-negotiable requirements on this position?
Credentialing and supervisory experience
What are the nice-to-have skills?
Credentialing within dentistry
What is exciting about this opportunity? Please use this section to describe team and company culture.
New position with a growing division
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