The Credentialing Manager is responsible for overseeing the successful operations of the credentialing program of the Louisiana Primary Care Accountable Care Organization, including gaining adoption from the LPCACO member Health Centers for the core credentialing platform (CredentialStream by VerityStream), ensuring that pre-implementation activities are completed successfully, making training available to the health centers, ensuring the CredentialStream platform is configured to meet the needs of the health centers, the LPCACO, and the health plans, ensuring the integrity of the credentialing data entered by the health centers, establishing and maintaining key support functions related to the program including ongoing training, first-tier support, support escalation to the vendor, and billing and collections from the health centers for their program fees, and leading the development and implementation of approved policies and procedures for health plan delegated credentialing. The Credentialing Manager must ensure compliance with the LPCACO’s credentialing and recredentialing policies and procedures, as well as compliance with state, federal, accreditation, and health plan credentialing and enrollment requirements. Read full job description →
To apply, please send resume and salary expectations to lpca@lpca.net.