Talent.com
Supervisor Credentialing Operations
Supervisor Credentialing OperationsHealth Care Service Corporation • Richardson, TX, US
Supervisor Credentialing Operations

Supervisor Credentialing Operations

Health Care Service Corporation • Richardson, TX, US
[job_card.30_days_ago]
[job_preview.job_type]
  • [job_card.full_time]
[job_card.job_description]

Job Summary

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.

Join HCSC and be part of a purpose-driven company that will invest in your professional development.

Job Requirements

This position is responsible for overseeing the enterprise credentialing operation to include managing and monitoring processes and procedures that support the credentialing and recredentialing processes. Oversight of all credentialing functions including application management and primary source verification. Ensure compliance with the appropriate accrediting and regulatory agencies. Managing production activities for a high-volume credentialing unit.

Job Requirements :

  • Bachelor Degree and 1 year business experience OR 5 years business experience with 2 years' experience in a leadership position with sound decision making skills.
  • Experience in a timeline driven environment with a focus on operations.
  • Experience in developing / leading and inspiring employees.
  • Written, verbal and interpersonal communication skills to present clear, concise and accurate information; ability to facilitate meetings and manage diverse groups and build relationships with employees and external customers.
  • Analytical skills and experience identifying and resolving workflow and system problems.
  • PC proficiency to include Word, Excel, and PowerPoint.
  • High degree of confidentiality.

Preferred Job Requirements :

  • Knowledge of HCSC provider systems.
  • Knowledge of Health Plan Credentialing.
  • Knowledge of NCQA, URAC, CMS, and state Departments of Insurance regulatory requirements.
  • Experience with CAQH applications.
  • Experience leading hybrid teams.
  • Experience in managed care.
  • Experience developing innovative solutions to ensure objectives are accomplished.
  • Knowledge of Vistar.
  • This is a Flex (Hybrid) role : 3 days in office; 2 days remote.

    Sponsorship is not available.

    This position will work from the Richardson, TX office 5 days a week for the first 4-6 months. After a performance review, this role will have the opportunity to work a hybrid schedule.

    Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

    Pay Transparency Statement : At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting https : / / careers.hcsc.com / totalrewards .

    The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.

    HCSC Employment Statement :

    We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.

    Base Pay Range

    $54,800.00 - $121,100.00

    [job_alerts.create_a_job]

    Operation Supervisor • Richardson, TX, US

    [internal_linking.related_jobs]
    2nd Shift Operations Supervisor - O'Neal Steel / Grand Prairie / Dallas, TX

    2nd Shift Operations Supervisor - O'Neal Steel / Grand Prairie / Dallas, TX

    O'Neal Industries • Dallas, TX, US
    [job_card.full_time]
    Shift Operations Supervisor - O'Neal Steel / Grand Prairie / Dallas, TX.O'Neal Steel is currently seeking two 2nd Shift Operations Supervisors (Processing and Distribution) for our facility in Grand...[show_more]
    [last_updated.last_updated_30] • [promoted]
    CI Supervisor

    CI Supervisor

    The Kraft Heinz Company • Garland, TX, United States
    [job_card.full_time]
    The CI Supervisor provides a full range of productivity services to Operations and direct cost reduction programs for the facility including leading lean events, developing and measuring facility s...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Operations Supervisor

    Operations Supervisor

    Capstone Logistics, LLC • Dallas, TX, US
    [job_card.full_time]
    Capstone is a leading North American supply chain solutions partner with more than 500 operating locations, 14,500 associates, and 60,000 carriers. We have capabilities in freight management, wareho...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Supervisor HIM Operations

    Supervisor HIM Operations

    Texas Staffing • Rowlett, TX, US
    [job_card.full_time]
    Baylor Scott & White Health Supervisor Of Health Information Management (HIM) Operations.Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities....[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Director – Manufacturing Operations McKinney, TX

    Director – Manufacturing Operations McKinney, TX

    RTX • McKinney, Texas, USA
    [job_card.full_time]
    TX190 : 2501 West University McKinney 2501 West University McKinney TX 75070 USA.Person or Immigration Status Requirements : . At Raytheon the foundation of everything we do is rooted in our values a...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Security Operations Supervisor

    Security Operations Supervisor

    Securitas • Richardson, Texas, USA
    [job_card.full_time]
    Securitas Security Services USA Inc is the global leader in protective services delivering specialized guarding advanced technology solutions and comprehensive risk management across diverse indust...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Inbound Supervisor

    Inbound Supervisor

    Arhaus Recruiting • Dallas, TX, US
    [job_card.full_time]
    The Supervisor- inbound is responsible for maintaining and constantly improving day to day floor operations to ensure the highest levels of customer satisfaction and production efficiencies, throug...[show_more]
    [last_updated.last_updated_variable_hours] • [promoted] • [new]
    Operations Expert Paragon Healthcare (Hybrid - Plano, TX)

    Operations Expert Paragon Healthcare (Hybrid - Plano, TX)

    Elevance Health • Plano, TX, US
    [job_card.full_time]
    Operations Expert Paragon Healthcare (Hybrid - Plano, TX).A proud member of the Elevance Health family of companies, Paragon Healthcare brings over 20 years in providing life-saving and life-givin...[show_more]
    [last_updated.last_updated_variable_hours] • [promoted] • [new]
    Supervisor Operations

    Supervisor Operations

    Leonardo DRS • Dallas, TX, United States
    [job_card.full_time]
    The Electro Optical InfraredSystems (EOIS) line of business within DRS has locations in Dallas and Austin, TX, Melbourne, FL, and Cypress, CA. EOIS develops, manufactures, and supports infrared and ...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Engineer 3, Excellence in Operations

    Engineer 3, Excellence in Operations

    Comcast • Plano, Texas, US
    [job_card.full_time]
    Comcast Business offers a suite of Connectivity, Communications, Networking, Cybersecurity, Wireless, and Managed Solutions to help global organizations of all sizes prepare for what’s next.Powered...[show_more]
    [last_updated.last_updated_variable_hours] • [promoted] • [new]
    Sr. MRO Operations Manager

    Sr. MRO Operations Manager

    Spirit AeroSystems • Dallas, TX, United States
    [job_card.full_time]
    Spirit AeroSystems designs and builds aerostructures for both commercial and defense customers.With headquarters in Wichita, Kansas, Spirit operates sites in the U. The company's core products inclu...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Supervisor, Operations

    Supervisor, Operations

    Roadrunner • Dallas, TX, US
    [job_card.full_time]
    The Operations Supervisor supervises dock operations and off hours Customer Service.Supervises and coordinates dock operations and personnel including load planning, local and line haul deliveries,...[show_more]
    [last_updated.last_updated_30] • [promoted]
    CI Supervisor

    CI Supervisor

    Kraft Heinz Company • Garland, TX, United States
    [job_card.full_time]
    Operations and direct cost reduction programs for the facility including leading lean events, developing and measuring facility systems and developing and delivering continuous improvement training...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Regional Operations Director

    Regional Operations Director

    Arcosa • Ferris, TX, US
    [job_card.full_time]
    Arcosa Aggregates Texas Region is seeking a Regional Operations Director.This position will provide strategic and operational leadership for open-pit sand and gravel mining operations across North,...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Supervisor, Operations

    Supervisor, Operations

    Roadrunner Freight • Dallas, TX, US
    [job_card.full_time]
    The Operations Supervisor supervises dock operations and off hours Customer Service.Supervises and coordinates dock operations and personnel including load planning, local and line haul deliveries,...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Operations Supervisor

    Operations Supervisor

    Waste Connections • McKinney, TX, United States
    [job_card.full_time]
    We are currently seeking an Operations Supervisor with strong leadership experience to join our team.CULTURE : It's a Great place to work! We work in an environment where empowered, self-directed al...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Operations Supervisor

    Operations Supervisor

    Waste Connections, Inc. • McKinney, TX, United States
    [job_card.full_time]
    Include : - Assist with the supervision of drivers.Monitor progress of daily operations, and reassigns employees and makes route changes as necessary - Conduct safety meetings and audits - Maintains...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Supervisor, Freight Operations

    Supervisor, Freight Operations

    XPO • Garland, Texas, United States
    [job_card.full_time]
    What you need to succeed as a Freight Operations Supervisor at XPO Minimum qualifications : 2 years of related work experience in a warehouse, distribution, supply chain, transportation or similar e...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]