FREE ACCESS
5,000–10,000 jobs/day
See all jobs on Scoutfield
Search thousands of fresh jobs every day.
Discover
- Fresh listings
- Fast filters
- No subscription required
Create a free account and start exploring right away.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in credentialing management and operational leadership, with a focus on optimizing service delivery and stakeholder engagement. Proficient in implementing advanced technologies such as AI and automation to enhance credentialing processes and compliance with industry standards.
Highest-signal resume keywords
Credentialing Management Software ExpertiseLeadership/Management ExperienceCertified Provider Credentialing Specialist (CPCS)Change Management SkillsNCQA CVO Certification Standards Knowledge
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Credentialing OperationsData GovernanceService Level Agreement (SLA) PerformanceOperational Structures DevelopmentProcess ImprovementWorkflow AutomationData ExtractionAI ImplementationMachine Learning (ML)Natural Language Processing (NLP)
Soft Skills
Effective CommunicationStakeholder EngagementTeam LeadershipAccountabilityProblem Solving
Tools & Technologies
VerityStreamEchoCactusMSOWEnterprise Automation Tools
Certifications & Qualifications
Certified Provider Credentialing Specialist (CPCS)Certified Professional Medical Services Management (CPMSM)
Industry Keywords
CredentialingMedical Staff Offices (MSOs)Integrated Delivery Network (IDN)NCQATJC Medical Staff Standards
Tech Stack
Tools & technologiesRPA
About the role
Key responsibilities & impact- Leads the strategic direction, data governance, platform optimization, and service delivery frameworks for ACVS
- Develops operational structures and governance models with health system stakeholders interfacing with the CVO
- Drives accountability and service level agreement (SLA) performance
- Provides leadership and develops structure with key stakeholders interfacing with the CVO
- Develops a team of account managers to serve as liaisons between stakeholders and CVO operations teams
- Leads optimization of the credentialing system to modernize service delivery for providers and stakeholders
- Partners with CVO to improve processes, stakeholder experience, and turnaround times
- Manages strategic relationships with market Medical Staff Offices (MSOs)
- Acts as an executive escalation point and subject matter expert regarding credentialing standards, operational bottlenecks, and service enhancements
- Leads continuous optimization and modernization of the enterprise credentialing platform
- Architects and implements an operating model integrating AI, Machine Learning (ML), Natural Language Processing (NLP), and Robotic Process Automation (RPA)
- Automates primary source verifications, data extraction, and workflow routing
- Evaluates credentialing technology stacks and vendor solutions
Requirements
What you’ll need- High School diploma equivalency with 5 years of applicable cumulative job specific experience required, with 2 of those years being in leadership/management OR Associate's degree/Bachelor's degree with 3 years of applicable cumulative job specific experience required, with 2 of those years being in leadership/management
- 5+ years of director level experience
- Strongly demonstrates effective change management skills
- 8+ years of experience in credentialing
- Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services Management (CPMSM) via the National Association Medical Staff Services (NAMSS)
- Demonstrated experience leading centralized credentialing operations within a large system, multi-regional, or integrated delivery network (IDN)
- Expertise in credentialing management software (e.g., VerityStream/Echo/Cactus, MSOW) and enterprise automation tools
- Deep knowledge of NCQA CVO certification standards and TJC medical staff standards
Benefits
Comp & perks- Eligible for an annual bonus incentive
- Comprehensive health coverage: medical, dental, vision, prescription coverage and HSA/FSA options
- Employer-matched 403(b)
- Planning and hardship resources
- Disability and life insurance
- Pro-rated paid time off (PTO) and holidays
- Ascension-paid tuition (Vocare)
- Tuition reimbursement
- Ongoing professional development and online learning
- Employee Assistance Program
- Counseling and peer support
- Spiritual care and stress management resources
- Parental leave
- Adoption assistance and family benefits
- Optional legal and pet insurance
- Transportation savings
