Provider Enrollment & Credentialing Manager

Job Summary:

• The Provider Enrollment and Credentialing Manager is responsible for overseeing and ensuring that Anesthesia Medicine (AM) and Emergency Hospital Medicine (EHM) maintain and develop a strong and long-term relationship with clients. This role will also include overseeing that relative operational and business services departments are on track for their clients and monitor and assess AM Performance and activity on assigned clients, escalating issues/concerns, as appropriate.

Essential Functions and Tasks:

• Monitor client performance and ensure the execution of operating mechanisms to build and maintain successful relationships with client leadership, physicians, hospitals, and other provider partners.
• Utilize the Ventra Health key performance indicator (KPI) tools and other analytics to manage and provide reporting and visibility on the performance and health of all clients.
• Analyze client results to proactively identify revenue cycle issues and implement solutions, working collaboratively with the Clients, Operations, and Revenue Cycle Management teams for resolution.
• Develop and execute plans to ensure clients are meeting SLA standards and lead remediation efforts when clients fall outside of SLA standards. Assist in the development and monitoring of account management policies and guidelines to support Ventra Health’s mission of being "one-step-ahead" in the industry and providing superior service to clients that add and create value.
• Responsible for highly structured operational reviews and management services review for Management Services Agreement (MSA) clients for all onsite account meetings and presenting reporting and insights to all accounts on a regular basis, depending on client needs, but no less than quarterly. This includes communicating performance updates, industry updates, and appropriately framing the Ventra value for our clients.
• Effectively coach, monitor and assist Provider Enrollment and Credentialing Manager(s) in managing assigned clients to exceed expectations.
• Implement or oversee the implementation of new Ventra Health client programs and initiatives to ensure the successful launch of such.
• Build constructive relationships with all levels of staff to develop a strong, unified team.
• Ensure all client concerns and issues regarding clinical, operational and management services functions are resolved in a timely manner.

Education and Experience Requirements:

• Bachelor’s Degree or 3+ years in Provider Enrollment and Credentialing preferred.
• Proven success in building and maintaining successful client relations.
• Strong analytical skills with demonstrated ability to analyze data to construct a comprehensive synopsis of client’s business and narrate client KPIs.
• Ability to handle multiple priorities and meet deadlines, and a bias toward action.
• Effective written and oral communication skills
• Demonstrates attention to detail in responding to client communications, reporting, and completing tasks.
• Ability to work with appropriate teammates to make decisions in a timely fashion that are sound, accurate and supported by data.
• Must be able to motivate a team of employees.
• Ability to interact with all types of people. The Provider Enrollment and Credentialing Manager must be able to get along with co-workers, clients, physicians, vendors, hospital administrators, senior level management and other parties that do business with our clients.  This position requires the ability to respond politely and professionally to all individuals and work well as a team player.

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