Program Manager, Delegated Credentialing/NCQA Specialist - Legal - Full Time

Sayre, PA, United States
Nov 19, 2018

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Job Description

Guthrie Entity

Guthrie Medical Group-Sayre

Shift

Days 8 hr

40 hrs/wk

Pay Grade

GCL/A9

FLSA Status

Non-Exempt

Main Function

Responsible for the maintenance of NCQA Accreditation in Credentialing/Recredentialing and compliance with NCQA Credentialing/Recredentialing (“CR”) Standards and Third Party Payor Delegated Credentialing requirements.

Education

Associate Degree in related field.  Bachelors Degree in related field preferred.  CPCS certification by NAMSS preferred.  Attain certification after eligibility requirements have been met.

Experience

  • Prior experience with NCQA standards and/or credentialing function preferred.
  • General office and administrative experience required, at least 5 years.
  • Excellent computer skills including Microsoft Office, Word and Excel.
  • Excellent interpersonal, organizational and verbal/written communication skills.
  • Professional presence and comfort level to facilitate working with health care professionals, accrediting organizations and payors.
  • Discretion when handling sensitive, personal and/or confidential information

How To Apply

Guthrie is an equal opportunity employer. To apply for a position at Guthrie please visit www.guthrie.org/careers

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Job Info

Nov 19, 2018

112951-1A

United States