AdventHealth
Director Credentialing Operation
We have more than 50 years of experience using innovative medicine to elevate health care in the Tampa region. We continue to make history every day through our clinical research program, which applies the latest advancements in medical technology to treatments that can be used today. Our diverse clinical specialties include cancer, cardiovascular care, neurosciences, orthopedics, women's health and surgery led by some of the nation's leading surgeons skilled in minimally invasive and robotic-assisted procedures. We're also home to the AdventHealth Pepin Heart Institute, nationally recognized for advances in cardiovascular disease prevention, diagnosis, treatment and research. With the clinical expertise, innovation, and compassion of our team members, we're changing the way people look at health care. Every day, our fellow team members show up to work, unified by one shared mission: Extending the Healing Ministry of Jesus Christ. As a faith-based health care organization, our story is one of hope as we strive to heal and restore the body, mind and spirit. Though our facilities are spread across the country, this unwavering belief binds us together. Across every office, exam and patient room, we're committed to providing individualized, holistic care. This is our Christian mission, and it inspires us to help make communities healthier and happier. All the benefits and perks you need for you and your family: Paid Days Off from Day One Student Loan Repayment Program Career Development Whole Person Wellbeing Resources Mental Health Resources and Support Schedule: Full Time Shift: Days Location: 3100 East Fletcher Avenue Tampa, Florida 33613 The community you'll be caring for: AdventHealth Division AdventHealth Tampa, a faith-based not-for-profit 626-bed tertiary-level acute care hospital located in the uptown district of Tampa, Florida, specializes in advanced cardiovascular medicine, neuroscience and neurology, digestive health, orthopedics, women's services, pediatrics, oncology, endocrinology, bariatrics, wound healing, sleep medicine and general surgery including minimally invasive and robot-assisted procedures. GME programs on the hospital campus currently include general surgery, obstetrics and gynecology, internal medicine and transitional year. AdventHealth Tampa is home to the renowned AdventHealth Pepin Heart Institute, a recognized leader in cardiovascular disease prevention, diagnosis, treatment and leading-edge research
caring for Tampa Bay's hearts for over 35 years. The Kiran C. Patel Research Institute, also located at AdventHealth Tampa, leads the way in clinical and academic research in the areas of neuroscience, cardiovascular medicine, advanced surgery and more
contributing valuable knowledge that leads to tomorrow's cures for conditions such as heart failure, cancer and other diseases. The Role You'll Contribute:
The responsibility of this position is to direct delegated credentialing functions while managing the daily operations of the credentialing and provider enrollment team including selection, training, and supervision of credentialing and enrollment staff. Administers these services with a strong emphasis on the delivery of quality, efficiency and superior service. Implements the policies and standards to ensure that credentialing operations are in compliance with NCQA credentialing standards and CMS. Works with AdventHealth Medical Group (AHMG), AdventHealth leadership, Managed Care Organizations and other departments within AdventHealth to fulfill its mission and goals. Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all. The Value You'll Bring to the Team:
Credentialing Implement follow-up/quality improvement programs that focus on provider onboarding, data collection, processing, and payer follow-up across AdventHealth within FL. Provide oversight of credentialing/follow-up for both delegated and non-delegated physician groups and payers. Collaborate and coordinate with AdventHealth Medical Staff and respective physician organizations (e.g., AHMG) to maintain efficient and effective flow of information and processes. Maintain effective credentialing processes and standards that are physician-centric and focus on delivering exceptional customer service to the physicians of AHMG and other practice entities. Provide oversight and guidance to the provider data and credentialing team to ensure all timelines, accuracy of data and work processes are met. Lead the credentialing and data teams and provide management in a way that promotes a positive, motivated working environment embodying the core values of AdventHealth. The Expertise and Experiences You'll Need to Succeed:
Master's in Business Administration Required. 10 years in credentialing within a large practice setting, PHO, health plan and/or medical staff service setting with responsibilities overseeing and managing credentialing including experience in delegated credentialing Required. 10 years in a healthcare leadership/management position over credentialing; preferably with responsibilities overseeing and managing credentialing Required. Certified Provider Credentialing Specialist (CPCS) Required or Certified Professional Medical Staff Management (CPMSM) Required or Ability to obtain CPCS or CPMSM within 18 months of hire Required. This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. Category: Medical Staff Organization: AdventHealth Tampa Schedule: Full-time Shift: 1 - Day Req ID: 25022228 We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.
We have more than 50 years of experience using innovative medicine to elevate health care in the Tampa region. We continue to make history every day through our clinical research program, which applies the latest advancements in medical technology to treatments that can be used today. Our diverse clinical specialties include cancer, cardiovascular care, neurosciences, orthopedics, women's health and surgery led by some of the nation's leading surgeons skilled in minimally invasive and robotic-assisted procedures. We're also home to the AdventHealth Pepin Heart Institute, nationally recognized for advances in cardiovascular disease prevention, diagnosis, treatment and research. With the clinical expertise, innovation, and compassion of our team members, we're changing the way people look at health care. Every day, our fellow team members show up to work, unified by one shared mission: Extending the Healing Ministry of Jesus Christ. As a faith-based health care organization, our story is one of hope as we strive to heal and restore the body, mind and spirit. Though our facilities are spread across the country, this unwavering belief binds us together. Across every office, exam and patient room, we're committed to providing individualized, holistic care. This is our Christian mission, and it inspires us to help make communities healthier and happier. All the benefits and perks you need for you and your family: Paid Days Off from Day One Student Loan Repayment Program Career Development Whole Person Wellbeing Resources Mental Health Resources and Support Schedule: Full Time Shift: Days Location: 3100 East Fletcher Avenue Tampa, Florida 33613 The community you'll be caring for: AdventHealth Division AdventHealth Tampa, a faith-based not-for-profit 626-bed tertiary-level acute care hospital located in the uptown district of Tampa, Florida, specializes in advanced cardiovascular medicine, neuroscience and neurology, digestive health, orthopedics, women's services, pediatrics, oncology, endocrinology, bariatrics, wound healing, sleep medicine and general surgery including minimally invasive and robot-assisted procedures. GME programs on the hospital campus currently include general surgery, obstetrics and gynecology, internal medicine and transitional year. AdventHealth Tampa is home to the renowned AdventHealth Pepin Heart Institute, a recognized leader in cardiovascular disease prevention, diagnosis, treatment and leading-edge research
caring for Tampa Bay's hearts for over 35 years. The Kiran C. Patel Research Institute, also located at AdventHealth Tampa, leads the way in clinical and academic research in the areas of neuroscience, cardiovascular medicine, advanced surgery and more
contributing valuable knowledge that leads to tomorrow's cures for conditions such as heart failure, cancer and other diseases. The Role You'll Contribute:
The responsibility of this position is to direct delegated credentialing functions while managing the daily operations of the credentialing and provider enrollment team including selection, training, and supervision of credentialing and enrollment staff. Administers these services with a strong emphasis on the delivery of quality, efficiency and superior service. Implements the policies and standards to ensure that credentialing operations are in compliance with NCQA credentialing standards and CMS. Works with AdventHealth Medical Group (AHMG), AdventHealth leadership, Managed Care Organizations and other departments within AdventHealth to fulfill its mission and goals. Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all. The Value You'll Bring to the Team:
Credentialing Implement follow-up/quality improvement programs that focus on provider onboarding, data collection, processing, and payer follow-up across AdventHealth within FL. Provide oversight of credentialing/follow-up for both delegated and non-delegated physician groups and payers. Collaborate and coordinate with AdventHealth Medical Staff and respective physician organizations (e.g., AHMG) to maintain efficient and effective flow of information and processes. Maintain effective credentialing processes and standards that are physician-centric and focus on delivering exceptional customer service to the physicians of AHMG and other practice entities. Provide oversight and guidance to the provider data and credentialing team to ensure all timelines, accuracy of data and work processes are met. Lead the credentialing and data teams and provide management in a way that promotes a positive, motivated working environment embodying the core values of AdventHealth. The Expertise and Experiences You'll Need to Succeed:
Master's in Business Administration Required. 10 years in credentialing within a large practice setting, PHO, health plan and/or medical staff service setting with responsibilities overseeing and managing credentialing including experience in delegated credentialing Required. 10 years in a healthcare leadership/management position over credentialing; preferably with responsibilities overseeing and managing credentialing Required. Certified Provider Credentialing Specialist (CPCS) Required or Certified Professional Medical Staff Management (CPMSM) Required or Ability to obtain CPCS or CPMSM within 18 months of hire Required. This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. Category: Medical Staff Organization: AdventHealth Tampa Schedule: Full-time Shift: 1 - Day Req ID: 25022228 We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.