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Credentialing Manager US Healthcare - 2 Openings @ R Systems

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 Credentialing Manager US Healthcare - 2 Openings

Job Description

Supports credentialing team leads with overseeing interviewing, work distribution, orientation, training, staff development, problem resolution, evaluating performance, making recommendations for personnel actions, and motivating employees to achieve peak performance. 

Oversees day-to-day operations Credentialing functions through maintaining appropriate staffing levels and productivity to meet targeted service levels, turnaround times, and satisfaction/quality levels. 

Escalates issues to the relevant departments.

 Directs and manages compliance with assigned corporate processes.

 Creates and maintains departmental policies and procedures working closely with the credentialing US team on best practices. 

Ensures overall compliance with facilities policy and procedures, US state and federal regulatory entities  and participate/assist with facility audits/surveys .

Facilitates meetings and ensures follow up and ongoing proactive communication with key stakeholders.

Creating Weekly/ Monthly and Daily Reports.

 Serves as a resource and subject matter expert to the credentialing staff on performance improvement

Proficient using office productivity software tools Microsoft Word, Microsoft Excel, Microsoft PowerPoint, Outlook, etc. 

Project management experience asses work activities and allocates resources appropriately Experience in credentialing & technical skills extensive credentialing process and primary source verification knowledge 


Open for WFO/ Pune Location.


Please share cv at an*******a@rs*****s.com


Job Classification

Industry: Analytics / KPO / Research
Functional Area / Department: Healthcare & Life Sciences
Role Category: Healthcare & Life Sciences - Other
Role: Healthcare & Life Sciences - Other
Employement Type: Full time

Contact Details:

Company: R Systems
Location(s): Pune

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Keyskills:   Team Handling US Healthcare Credentials Revenue Cycle Management

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R Systems

About Harbinger Group Harbinger Group is a global provider of software products and services. The Harbinger Group companies are Harbinger Systems and Harbinger Knowledge Products. Harbinger Systems is a leading provider of software engineering services to some of the world's best product compani...