Building Location:516 Building - Duluth

Department:45400 Medical Staff Office

Job Description:Under limited supervision, oversees the operations of the Essentia Health credentialing team to develop, manage and monitor processes and procedures that support the credentialing, re-credentialing, expirables data management, and delegated credentialing contract processes. Oversees all the credentialing functions including application management and primary source verification. Ensures compliance with the appropriate accrediting and regulatory agencies. Supervises credentialing staff in the day-to-day management of the overall credentialing process and database management.

Education Qualifications:

Education Requirements:

Bachelor’s degree in Hospital Administration or related field or CPCS (Certified Credentialing Specialist)CPMSM (Certified Professional Medical Services Management) certified.

Required Qualifications:

Minimum of 3 years management experience in Medical Staff Services

 

Preferred Qualifications:

Working knowledge of medical staff/provider credentialing concepts and comprehensive knowledge of state, federal regulatory requirements and accreditation standards relating to the organized medical staff, preferred.CPCS (Certified Credentialing Specialist)CPMSM (Certified Professional Medical Services Management)

Key Responsibilities:

Oversees the operations of the Essentia Health credentialing team.Implements and ensures ongoing review and updates to medical staff policies. Analyzes reports on applications and credentialing status to identify trends and to ensure continuous improvement of the credentialing process.Coordinates the management of the credentialing database and ensures data integrity in partnership with the System’s Analyst. Involved in the review and oversight of delegated credentialing agreements.Directs team meetings and is responsible for the oversight of day-to-day functions of the credentialing team. Oversees the supervision of personnel, which includes work allocation, training, enforcement of internal procedures and controls, and problem resolution; evaluates performance and makes recommendations for personnel actions; motivates employees to achieve peak productivity and performance. Performs miscellaneous job-duties as assigned.

Making a Healthy Difference in YOUR life

We understand better than most how important your health is. That is why we offer comprehensive benefits packages that meet the unique needs of you and your family. These benefits include:

Health Coverage: Medical, dental, and vision insurance options to ensure employees' well-being.Retirement Savings Plans: 401(k) with employer contributions to support long-term financial security.Employee Wellness Programs: Initiatives focused on physical, mental, and emotional health, including fitness memberships, counseling services, and wellness activities.

Life at Essentia

At Essentia, you are more than just a number; your role is crucial for delivering exceptional patient care! We value each team member's dedication and offer opportunities for growth, development, and a strong sense of belonging. We're excited to invest in you as a valued member of our team through:

Professional Development: Opportunities for career growth through training, tuition reimbursement, and educational programs.Work-Life Balance: Flexible scheduling, paid time off, and personal leave to help employees manage their professional and personal lives.Colleague Resource Groups: Colleague Resource Groups (CRGs) are employee-led networks designed to foster inclusion, belonging, and professional growth within the organization. They offer voluntary spaces for collaboration and socialization, aiming to support members, enhance organizational culture, and engage with the broader community.

Licensure/Certification Qualifications:

FTE:1

Possible Remote/Hybrid Option:

Remote

Shift Rotation:Day Rotation (United States of America)

Shift Start Time:

Shift End Time:

Weekends:

Holidays:No

Call Obligation:No

Union:

Union Posting Deadline:

Compensation Range:

$75,504.00 - $113,256.00

Employee Benefits at Essentia Health*:

Health Coverage: Medical, dental, vision, life and disability insurance, plus supplemental health benefit options to ensure employees' well-being.

Retirement Savings Plans: 401(k) with employer contributions to support long-term financial security.

Professional Development: Opportunities for career growth through training, tuition reimbursement, and educational programs.

Work-Life Balance: Flexible scheduling, time off, holidays, and personal leave to help employees manage their professional and personal lives.

Employee Wellness Programs: Initiatives focused on physical, mental, and emotional health, including fitness memberships, counseling services, and wellness activities.

*Eligibility for Essentia Health’s benefit programs vary. Please refer to the benefit summary provided to you, or contact our HR Service Center at (218) 576-0000 for more information.