CREDENTIALING COORDINATOR

About the role

Working at Moffitt is both a career and a mission: to contribute to the prevention and cure of cancer. As the only National Cancer Institute-designated Comprehensive Cancer Center based in Florida, Moffitt employs some of the best and brightest minds from around the world. Join a dedicated team of nearly 11,000 who are shaping the future we envision. Moffitt has been recognized as a Best and Brightest Company to Work For in the Nation and is continually named one of the Tampa Bay Times’ Top Workplaces.

Responsibilities

• Independently leads the credentialing and privileging of each individual practitioner applying for Medical Staff Appointment and Membership
• Ensures compliance with Medical Staff Bylaws, The Joint Commission (TJC) Medical Staff standards, National Commission on Quality Assurance (NCQA) standards, State regulations and Conditions of Medicare Standards (CMS) and Utilization Review Accreditation Commission (URAC) as applicable and related to medical staff credentialing and privileging
• Conducts an in-depth review and analysis of the provider's application, qualifications, training, experience and accompanying documentation
• Leads all duties related to the Managed Care credentialing/re-credentialing process and Health Plan enrollment

Minimum Education

• Associate's Degree
• In lieu of an Associate's degree, applicants with a high school diploma or equivalent with minimum five (5) years' relevant experience will be considered
• Bachelor's degree preferred

Required Experience

• Three (3) years' relevant experience in an office, academic or healthcare setting is required
• Experience in hospital and/or managed care credentialing preferred

Skills/Training

• Ability to analyze and use independent judgement to determine a course of action; manage and impart confidential information
• Works independently, is self-directed and effective in a high paced team environment
• Ability to organize, prioritize, coordinate and follow through on multiple activities and tasks in a timely manner
• Exceptional communication and customer relation skills
• Demonstrated proficiency in use of Microsoft Office applications (Word, Excel, Outlook), credentialing software, and conducting research using various internet resources and websites
• Database management skills, including querying, reporting and document generation
• CPCS certification preferred

Pay

Salary Range $20.64 - $31.47. Salary ranges posted for this position represent the expected base pay range for the role. Actual compensation may vary based on location and a variety of job-related factors, including experience, skills, education, and internal equity among Team Members in similar positions. We are committed to maintaining fair and equitable pay practices and regularly review compensation to ensure alignment across our workforce.