Director, Credentials Verification Organization
Loyola Medicine(1 month ago)
About this role
Directs Trinity Health’s system-wide Central Verification/Center for Practitioner Information to ensure efficient, compliant credentialing, privileging, and provider data management across Regional Health Ministries, ACOs, CINs, and delegated health plans. Develops strategic initiatives, policies, and standardized processes for credentialing, re-credentialing, privileging, and provider enrollment to meet regulatory and accreditation requirements. Oversees department budget, staffing, NCQA compliance, and reporting to ensure quality and operational effectiveness.
Required Skills
- Credentialing
- Privileging
- Provider Enrollment
- NCQA
- Compliance
- Budget Management
- Staff Management
- Process Improvement
- Data Management
- Project Management
+1 more
Qualifications
- Bachelor's Degree
- Certified Professional Medical Services Management (CPMSM)
- Certified Provider Credentialing Specialist (CPCS)
- NCQA (Preferred)
- Advanced Health Degree (Preferred)
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