Supervisor-Dental Provider Credentialing - Remote in Jacksonville, FL

When it comes to making a meaningful difference in the lives of our customers and employees, USAble Life is always ready. We are a diverse group of individuals working together to go the extra mile. Through our DEI initiatives, employees feel empowered to bring their talents and voice to our culture.

Our passion for delivering the best products is matched only by our passion for our people. We are committed to making a meaningful difference in the lives of others which extends beyond our office walls. USAble Life has a long tradition of supporting our communities, and we're proud of the fact that our employees share that commitment.

We have been recognized as a "Best Places to Work" in Arkansas, Florida, and Hawaii. You'll be rewarded with opportunities for personal and professional development and opportunities for advancement. This, coupled with our engaging culture and a comprehensive benefits package, ensures we are committed to our employees.

Check out how we make a meaningful difference in the lives of others!

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What We Offer You:

• A culture that values employees and celebrates, empowers, and inspires a diverse workforce
• Outstanding and affordable benefits package
• PTO provided at date of hire
• 11 paid holidays
• 401(k) with up to 6% match; fully vested from day 1
• Remote opportunities with company-provided equipment
• Team-oriented, collaborative group of peers
• Career advancement opportunities
• Tuition Reimbursement
• Employee Assistance Program
• Inclusion Council and Employee Resource Groups
• Recharge Days and Volunteer Time Off

Life Takes You Places! Are you ready to join us?

The starting base salary range for a Supervisor-Dental Provider Credentialing is $60,000 to $75,000. Actual salaries will vary by geographic location and are based on factors such as candidate's qualifications, experience, skills, competencies, and company tenure & equity. In addition to base compensation, this role is eligible for a annual incentive plan based on company performance and individual performance.

Supervisor, Dental Provider Data Maintenance & Credentialing Overview

This is a primarily remote position. Training requires 2 weeks in office at our Jacksonville location and one in office day every 6-8 weeks.

The Supervisor, Dental Provider Data Maintenance & Credentialing supervises the daily tasks of the Provider Data Maintenance & Credentialing Specialist I. This role works with outside vendors including but not limited to CVO, Dental Directors, Print and Mail Services.

Essential Duties

• Monitors workflow within the team and with outside vendors such as the CVO and identifies opportunities for process improvements. Coaches and provides assistance and feedback to staff as needed
• Researches, plans, and prepares departmental reports to ensure accuracy and efficiency of the team's data entry and adherence to NCQA protocols for credentialing and re-credentialing
• Works directly with internal and external auditors and follows up on any recommended actions.
• Works directly with Dental Director and Credentialing Committee attendees to ensure all files are reviewed, signed off on and any follow-up action completed
• Facilitates all mailings associated with re-credentialing to ensure that NCQA guidelines relative to timeliness are being met
• May perform other duties, including the daily functions of the credentialing team as assigned
• Monitors and recommends adjustments to workflow processes and staff assignments
• Prepares performance reviews, and administrative action documentation, and reviews with staff as necessary
• Coordinates audit reviews as necessary and follows up on any action items
• Manages reports to monitor efficiency and quality review
• Prepares the monthly agenda for Credentialing Committee meeting
• Makes all preparations for the Credentialing Committee Meeting and attends and creates meeting minutes
• Drafts letters for all tabled cases and prepares check requests for the attendees' stipends

Required Knowledge, Skills, and Abilities

• Knowledge of general credentialing processes
• Knowledge of CVOs and NCQA Credentialing Guidelines
• Advanced MS Office skills, particularly Excel
• Excellent verbal and written communication skills including the ability to compose professional correspondence
• Demonstrated leadership skills and the ability to assist and guide others
• Ability to supervise staff using appropriate tools and techniques
• Ability to maintain attention to detail and a low error rate
• Ability to prioritize tasks and work within time constraints

Required Education and Experience

• Bachelor's Degree or related experience
• 3 to 5 years' provider data maintenance & credentialing experience
• Credentialing Delegation Oversight experience
• Minimum 1 year of management/leadership experience
• Or, equivalent military experience

Preferred Education and Experience

• 3 years as a Credentialing Specialist II
• Certified Provider Credentialing Specialist (CPCS)

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