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CVO Manager
Trinity Health. Manage all operational aspects of the Trinity Central Verification Office Reappointment Team .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in credentialing and privileging processes, with a strong focus on compliance with regulatory requirements such as CMS, TJC, and NCQA. Proven ability to manage operational aspects of healthcare teams, ensuring quality service delivery and effective performance management.
Highest-signal resume keywords
Credentialing ManagementRegulatory ComplianceCPCS CertificationHealthcare AdministrationTeam Leadership
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
CredentialingPrivilegingStatistical AnalysisProblem-SolvingBudget ManagementDatabase MaintenanceProcess ImprovementReport CreationQuality ManagementHealthcare Operations
Soft Skills
Strong CommunicationActive ListeningOrganizational SkillsAttention to DetailCollaboration
Tools & Technologies
MD Staff
Certifications & Qualifications
CPCS CertificationCPMSM Certification
Industry Keywords
Managed CareIntegrated Delivery SystemsHealthcare ComplianceCredentialing PoliciesQuality Standards
About the role
Key responsibilities & impact- Manage all operational aspects of the Trinity Central Verification Office Reappointment Team
- Ensure efficient and effective operations in compliance with CMS, TJC, NCQA, NPDB, and other regulatory requirements
- Directly oversee and manage the performance of the CVO file processing team
- Manage reappointment credentialing for Trinity RHMs, healthcare entities, and managed care organizations
- Monitor the department budget and staffing levels; reduce duplicate work and operate within budget
- Create and review periodic and special reports to meet departmental goals and regulatory requirements
- Establish staffing plans and manage hiring, orientation, training, performance management, and department goals
- Provide credentialing standards in-service training and facilitate continuing education for staff
- Plan office activities and work projects; supervise personnel completing projects and duties
- Maintain a quality provider network through initial credentialing and re-credentialing activities
- Develop and implement process changes to improve credentialing functions
- Oversee database maintenance for practitioner information and privileges
- Implement policies and procedures supporting services for RHMs, CINs, ACOs, and MCOs with delegated credentialing agreements
- Develop and maintain positive customer relationships and satisfaction standards
- Develop, review, and revise credentialing policies and procedures for compliance with Trinity and MCO quality management requirements
- Establish strategies for centralized credentialing processes
- Facilitate maintenance of facilities, office equipment, and contracted services
- Promote collaborative relationships with hospital administrative staff, MCO support staff, and internal department staff
- Maintain confidentiality of patient, physician, employee, and visitor information
- Maintain knowledge of applicable laws, regulations, Trinity compliance programs, and policies
- Travel to various Trinity Health sites as needed
Requirements
What you’ll need- Comprehensive knowledge of credentialing and privileging, obtained through a Bachelor's degree or equivalent combination of education, training, and/or experience in health care administration or a related field
- Five (5) to seven (7) years of health care experience, including familiarity with managed care concepts and integrated delivery systems
- Current CPCS and/or CPMSM eligibility by the National Association Medical Staff Services; certification required within one year of hire
- Strong written and verbal communication skills, active listening, and consideration of varying viewpoints
- Strong statistical, analytical, and problem-solving skills
- Ability to provide quality service to others
- Ability to prioritize and coordinate multiple activities/projects simultaneously
- Strong organizational skills, attention to detail, and thoroughness
- Ability to work independently, prioritize, and handle multiple responsibilities
- Ability to work autonomously and within a team environment
- Comfort operating in a collaborative, shared leadership environment
- Honesty, integrity, caring, and ability to inspire and motivate others
- Prior management/leadership experience within a healthcare environment, preferred
- Experience with MD Staff, a plus
- Must be able to travel to various Trinity Health sites as needed
- Ability to complete work during high-pressure periods while maintaining flexibility and a pleasant attitude
Benefits
Comp & perks- Professional development programs and continuing educational opportunities
- Professional affiliations to keep abreast of health care trends, changes, regulations, and legislation
- Equal Opportunity Employer