Credentialing Lead (Hybrid - Troy, MI) - Health Alliance Plan
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![]() United States, Michigan, Troy | |
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GENERAL SUMMARY: Under minimal supervision, responsible for identifying and maintaining up-to-date knowledge of NCQA, CMS standards & DIFS requirements as they relate to the credentialing function, as well as HAP & HAP Midwest Health Plan credentialing departmental policies and procedures. Assess organizational/ancillary behavioral medicine facilities application before contracting and at least every three years thereafter for behavioral medicine facilities Provide functional oversight of credentialing staff. PRINCIPAL DUTIES AND RESPONSIBILITIES:
EXPERIENCE / EDUCATION REQUIRED:
CERTIFICATIONS/LICENSURES:
Additional Information
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