As the Shared Services/Credentialing Manager for Swope Health, you will be supporting a team of employees that help the people in our community that need it the most. The Shared Services/Credentialing Manager is responsible for coordinating the centralized credentialing and privileging program, including activities that ensure that Swope Health Services has a provider network of the highest quality. This position develops and implements processes, procedures, and policies in accordance with standards established by HRSA, Joint Commission and other grant makers as applicable. This position is also responsible for the timely enrollment of practitioners in commercial insurance plans as eligibility rules and standards dictate If you have a passion for service and helping others, this is the role for you.

Primary Functions:

• Develops and implements centralized credentialing and privileging processes and procedures for Swope practitioners and maintains confidential credentialing files.
• Prepares credentialing and privileging documents for all initial appointments and reappointments in a timely and complete manner for presentation to the Board of Directors.
• Works closely with physicians, mid-levels, licensed independent practitioners and other licensed or certified practitioners and professional staff to acquire necessary materials and information for enrollment with commercial insurance plans.
• Ensures compliance with HRSA, JCAHO and other grant makers or certification standards for credentialing and privileging of various practitioner types.
• Leads or supports the audit process for credentialing as needed.
• Maintains and/or acquires delegated credentialing as appropriate to benefit Swope Health.
• Uses credentialing software proficiently and adds credentialing information to the HR associate records as necessary.
• Coordinates with various departments to ensure communication of completed credentialing and privileging requirements to ensure appropriate billing for services.
• Convenes monthly Credentialing Committee meetings, records, and ensures the decisions of the committee are acted upon. Attends Board meetings as required.
• Coordinate, oversee, and guide the work of departmental personnel across functional lines of responsibility for shared services including but not limited to new hire onboarding/offboarding, benefit processes.
• Responsible for ensuring the front desk and office administrative needs for the HR department are met in addition to responding to associate questions and needs as it relates to basic personnel, payroll or benefits information and other HR policies and procedures.
• Ensure team members follow best practices and maintain service level agreements
• Monitors/resolve team issues and associate concerns
• Suggest or innovate on processes as deemed appropriate
• Exercises confidentiality with regard to all information, results, data and other sensitive material.
• Acts as backup for payroll processing for timely and accurate processing. Audit the payroll process.

Successful Candidates will have:

• Bachelor’s Degree in human resources or related field required.
• Credentialing certification highly preferred.
• 2-4 years’ experience of provider credentialing required.
• Ability to write clearly and distinctly.

About Swope Health Services:

Each year, Swope Health serves over 45,000 patients, encompassing more than 200,000 visits in four counties on both sides of the Kansas / Missouri state line. Our team members are proud of the work we do and the promise we've made – delivering coordinated care that values the needs of the whole person and championing better health in our community.

Swope Health is a special place that cares for the people who need it most, wherever they are in the community. As part of our promise to battle health inequities and provide high-quality, comprehensive care, we make care visible. That means we proudly deliver our promise through every action, every day.

Swope Health Services supports its team members with:

• Medical benefits (including a Health Savings Account option), dental and vision
• 401(k) retirement plan with company match
• Company-paid benefits such as life insurance, Accidental Death & Dismemberment, and Short- and Long-Term Disability
• Flexible Spending Account
• Paid Days Off beginning at 12 days annually, effective the first day of employment
• Eight annual company-paid holidays; One annual paid personal day

Swope Health is an affirmative-action, equal-opportunity employer. We consider all qualified applicants without regard to race, color, creed, religion, gender, national origin, age, marital status, veteran status, or disability.

Education

• Bachelors or better in Human Resource Administration or related field