The Credentialing Specialist –Team Lead position, in the Medical Management Department, will be responsible for all credentialing and quality related activities to include, but not limited to, credentialing efforts associated with or required by NCQA, DMAS, CMS, and/or any other regulatory guidelines. The incumbent will also be responsible for assisting the manager, serving as a team lead with credentialing operations, queries and reporting.
MINIMUM EDUCATION REQUIREMENTS:
SPECIAL KNOWLEDGE AND/OR SKILLS:
Physical health sufficient to meet the ergonomic standards and demands of the position.
Virginia Premier Health Plan, Inc. is a managed care organization which began as a full-service Medicaid MCO in 1995. Partnered with VCU Medical Systems we strive to meet the needs of the underserved and vulnerable populations in Virginia by delivering quality driven, culturally sensitive and financially viable Medicare and Medicaid healthcare programs. Headquartered in Richmond, VA we also have offices in Roanoke, Tidewater and Bristol with additional satellite locations allowing us to serve over 200,000 members across eighty counties throughout Virginia.
We offer competitive salaries and a comprehensive benefits package to include excellent Medical, Dental and Vision Plans, Tuition Assistance, Infant-At-Work Program, Remote Work options and generous vacation and sick leave policies. Our culture supports an environment where employees can continuously learn and gain professional growth through various development programs, education, exciting projects and career mobility.
Our mission is to inspire healthy living within the communities we serve!