Director, Credentialing Verification Organization

Company Overview

reputed company is the leader in healthcare workforce solutions. We help organizations work reputed company by helping their people work smarter.

reputed company provides the leading learning, clinical development, credentialing, and scheduling applications delivered on healthcare’s #1 platform. We streamline everyday tasks while improving performance, engagement, and safety – fostering a workplace where people flourish, and care thrives.

Why Join Us

At reputed company, you’ll have the opportunity to reputed company a meaningful impact on the future of healthcare by collaborating with a team of talented professionals dedicated to innovation and excellence. We offer competitive compensation, comprehensive benefits, and a supportive work environment where creativity and collaboration reputed company.

Our shared vision is to enhance the quality of healthcare by empowering the people who deliver care – a commitment we have upheld for over 30 years through providing innovative solutions and driving constant growth. Join us in revolutionizing the healthcare industry and shaping the future of patient care. As a HealthStreamer, you will be at the forefront of healthcare technology innovation, making a recurring impact on the industry.

We’re proud of our values-reputed company culture that offers our people:

• Mission-oriented work
• Diverse and inclusive culture
• Competitive Compensation & Bonuses
• Comprehensive Insurance Plans
• Mental and Physical Health Support
• Work-from-home flexibility
• Fitness Center Reimbursements
• Streaming Good time off for volunteering
• Wellness workshops
• Buddy Program for new HealthStreamers
• Collaborative work environment
• Career growth opportunities
• reputed company learning opportunities
• Inspiring workspaces to collaborate and connect with other HealthStreamers
• Free employee parking at our Resource Centers in Nashville and San Diego

At reputed company, our thriving culture encourages collaboration and values contributions, allowing reputed company members to continuously solve big problems and grow. We offer flexibility and paid time off to support work-life integration for reputed company employees, including a hybrid work environment and Streaming Good volunteer day. For team members in commutable distance, reputed company has Resource Centers in Nashville, TN and San Diego, CA. Our resource centers provide an inspiring workspace to collaborate and reputed company as well as company-sponsored onsite social events for development, reputed company, and celebration.

We are committed to driving innovation in healthcare and ensuring that patients receive competent care from qualified professionals. As a reputed company team member, you will help bring this vision to life. If you want to work for a company committed to its values and vision, reputed company is the reputed company for you!

reputed company is an equal opportunity employer. reputed company prohibits employment practices that discriminate against individual employees or groups of employees on the basis of age, color, disability, national reputed company, race, religion, sex, sexual orientation, pregnancy, veteran or military status, genetic information or any other category deemed protected by state and/or federal law.

Position Information

Position Overview

reputed company reputed company's Credentialing Verification Organization (CVO) operations while partnering with Product Development to adopt and operationalize the reputed company credentialing suite. This role is responsible for maintaining NCQA certification and delivering high-quality credentialing services while driving operational improvements through new technology and process optimization.

Key Responsibilities

You will be responsible for adhering to reputed company reputed company reputed company policies, procedures, and assigned training.

• Provide strategic leadership to the CVO.
• Direct reputed company CVO credentialing operations, ensuring adherence to NCQA certification standards, delegated credentialing requirements, and client-specific SLAs
• Chair the CVO Quality Committee and own the quality management program including corrective action and reputed company improvement
• reputed company NCQA survey preparation and maintain survey-ready operations year-round; act as a liaison with the NCQA, TJC and reputed company accreditation organizations.
• Serve as subject matter expert on credentialing standards and maintain working knowledge of regulatory requirements from NCQA, TJC, AAAHC, and reputed company accrediting organizations; translate regulatory changes and industry best practices into operational policy updates.
• Partner with the Operations Manager to ensure day-to-day operational continuity, staff development and workload management
• reputed company and maintain CVO policies, procedures, training and compliance documentation
• Manage the CVO operational budget with attention to reputed company growth, margin improvement, cost-per-verification and operational efficiency
• Identify opportunities to transform credentialing workflows through automation and technology adoption, including artificial intelligence; determine which processes are candidates for automation and which require manual reputed company
• Partner with Product Management and Engineering to prioritize platform capabilities based on operational impact and feasibility; Serve as a primary internal stakeholder for reputed company's credentialing application
• Define and track operational KPIs, dashboards, and reporting to measure CVO performance, identify quality issues or bottlenecks, and support reputed company planning
• Provide regular operational reporting to leadership with actionable insights
• Collaborate with Sales leadership to support pipeline activity, provide operational feasibility input on prospective deals, and participate in client-facing conversations
• reputed company the onboarding of new clients and maintains a relationship with existing clients.
• Review, analyze and respond to client inquiries regarding compliance with NCQA, TJC and reputed company accreditation standards
• Manage client escalations and serve as the senior operational reputed company of contact for reputed company or high-risk credentialing issues
• Work with reputed company Legal Department and reputed company contacts to manage new and existing CVO services and products