About this opportunity
Astrana Health lists this Manager - Credentialing and Payor Enrollment opportunity in alhambra, California. Review the employer’s description below for duties, qualifications and application requirements.
Job description
Overview
Astrana is seeking a Manager - Credentialing and Provider Relations to manage the credentialing/re-credentialing process for providers within our owned clinical entities, ranging from primary care, urgent care, specialty, and imaging centers. This manager will also contribute to provider relations by building rapport with providers in-person at our clinics. We are looking for credentialing experts who are highly organized, Excel-savvy, comfortable with paper credentialing processes, and eager to bring organization to a disorganized process. This is a great opportunity for candidates who enjoy having a large scope of responsibility, are self-starters, and are eager to make an impact on the lives of over 100 providers.
Responsibilities
Manage the initial credentialing, re-credentialing, and continuous credentialing processes for individual and organizational providers. Manage the integrity of provider data and contracts in the credentialing files and database in compliance with regulatory standards
Collaborate with leadership, co-workers, network providers, and staff in other departments to achieve objectives and deliver exceptional provider services
Develop trusted relationships and maintain open lines of communication with providers through in-person visits, emails, and phone
Collaborate with other departments to ensure provider inquiries are resolved in a timely and effective manner
Participate and lead activities related to provider marketing and growth
Create detailed reporting of provider visits, inquiries, trainings, and growth opportunities
Problem-solve and identify ways to address provider issues timely and effectively
Work cross-functionally with internal departments
Must be able to travel to the assigned service areas
Other duties assigned by department leaders
Qualifications
Bachelor’s degree or equivalent years of experience preferred
2-3 years experience in credentialing
NAMSS Certification (CPCS or CPMSM) strongly preferred
Strong understanding of Managed Care Operations
Excellent written and verbal communication skills
Proficient computer skills and Microsoft Office programs (Outlook, Excel, Word, PowerPoint)
Working Conditions
Our organization follows a hybrid work structure with in-office, clinic, and remote work on a weekly basis. The office is located at 1668 S Garfield, 2nd Floor, Alhambra CA 91801.
This position requires traveling to provider offices throughout the San Gabriel Valley, Riverside, and Orange County. Travel may occur across regions and days; candidates must be willing to drive within these regions for provider relations and credentialing efforts
Must maintain a reliable source of transportation
Total compensation target pay range is $80,000-$100,000 annually; this salary range represents our national target range for this role
Details
Seniority level: Mid-Senior level
Employment type: Full-time
Job function: Health Care Provider
Industries: Hospitals and Health Care
Referrals increase your chances of interviewing at Astrana Health. Location: Los Angeles, CA.
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Worksite address
alhambra, CA, 91802, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.