CASY-MSCCN Jobs

Leidos QTC Health Services seeks an innovative credentialing expert to fill the role of Provider Management Project Lead.

Leidos QTC Health Services collaborates closely with government and non-government customers to address current and future program needs within the health services domain. We specialize in disability-focused medical examinations, independent medical exams and review services, occupational health services, diagnostic testing, and case management solutions. As innovators, we focus on advancing technologies that improve service delivery, with a particular emphasis on enhancing accessibility for examinees in rural communities. With a proven track record of continuous improvement and steady growth, we now handle over 2 million appointments annually. Visit www.qtcm.com for more information.

In this role, you will:

• Review credentialing processes and systems/tools to support all of our credentialing activities
• Review options for leveraging the MQAS solution for credentialing.
• Review the status of operation issues and develop strategies to meet productivity, quality, and goals and objectives of the team
• Partner with the Leidos Capture teams to develop a successful story to win the MQAS DHA contract.
• Lead the assessment of current processes to ensure practitioner information and applications are properly verified and documented
• Be responsible for understanding daily operational workflow, to include communication with internal and external business partners, resolution of issues, and identify workflow concerns
• Ensure the use of best practice workflows and operational excellence are utilized and continuously seek improvement opportunities
• Work in collaboration with internal departments to ensure compliance with all regulatory requirements related to credentialed practitioners
• Ensure compliance with delegated credentialing policy and procedure
• Analyze and report departmental metrics and trends to leadership
• Have strong leadership skills with the ability to prioritize and delegate effectively
• Demonstrate the ability to advise and interact with all levels of management
• Have excellent oral and written communication skills
• Have the ability to successfully negotiate
• Have comprehensive knowledge of credentialing
• Possess and demonstrate skills necessary to analyze information, problems, procedures and situations
• Have strong knowledge of Electronic Medical Records (EMR)

You must have:

• A Bachelors Degree from an accredited college w/ 10 years of relevant experience (Additional experience maybe considered in lieu of degree
• Senior healthcare experience in credentialing
• An ability to successfully pass National Agency Check with Inquiries (NACI) background investigation.

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Pay Range: $128,500 - $150,000 w/ up to 9% bonus eligibility

Pay and benefits are fundamental to any career decision. That's why we craft compensation packages that reflect the importance of the work we do for our customers. As a result, we offer meaningful and engaging careers to support you and your career goals, all while nurturing a healthy work-life balance. Employment benefits include competitive compensation, Health and Wellness programs, Income Protection, Paid Leave and Retirement. More details are available here: Join Our Team | Jobs and Career Opportunities | Leidos QTC Health Services (qtcm.com)

The Leidos QTC Health Services pay range for this job level is a general guideline only and not a guarantee of compensation or salary. Additional factors considered in extending an offer include (but are not limited to): geographic location, responsibilities of the job, education, experience, knowledge, skills, and abilities, as well as internal equity, alignment with market data, applicable bargaining agreement (if any), or other law.

Leidos QTC Health Services. is a VEVRAA Federal contractor and n Equal Opportunity Employer. The company has an ongoing commitment to affirmative action and the creation of a workplace free of discrimination, harassment and retaliation. The company recruits, hires, trains, and promotes individuals in all job titles without regard to race, color, creed, religion, ancestry, national origin, age, sex, pregnancy, sexual orientation, gender identity, genetic information, people with disabilities protected under law, and protected veteran status.

* This job description supersedes all prior job descriptions and is intended to describe the general content and essential requirements for the position listed above. It is not to be construed as an exhaustive statement of requirements, duties and responsibilities. Management reserves the right to add or change the duties of this position as required at any time.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractors legal duty to furnish information. 41 CFR 60-1.35(c)

Equal Opportunity Employer - minorities/females/veterans/individuals with disabilities/sexual orientation/gender identity