Supervisor, Provider Operations - Credentialing - Remote

Norfolk, VA • First shift (Days)

About the role

Sentara Health Plans is currently hiring for a Supervisor, Provider Operations - Credentialing. This is a full-time, permanent remote position (40 hours per week) with work hours from 8am to 5pm EST, Monday through Friday. Remote opportunities are available in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.

Sentara Health Plans provides health plan coverage to close to one million members in Virginia, offering a full suite of commercial products, including employee-owned and employer-sponsored plans, as well as Individual & Family Health Plans, Employee Assistance Programs, and plans serving Medicare and Medicaid enrollees. Our quality provider network features a robust selection of specialists, primary care physicians, and hospitals. We support members with chronic illnesses through customized wellness programs and integrated clinical and behavioral health services.

Responsibilities

• Manage day-to-day activities regarding provider data management and credentialing.
• Serve as a subject matter expert supporting quality assurance, internal and external auditing of key processes, system compliance, and acceptance testing.
• Drive process improvements to increase operational effectiveness.
• Document new policies and procedures.
• Develop and maintain training materials.
• Assist with onboarding new staff.
• Manage a team of up to 10 to 14 credential specialists I and II.

Requirements

• High School diploma or equivalent (preferred).
• 3 years of healthcare experience (required).
• Health plan experience (preferred).

Pay

The base pay rate for this full-time position is $69,742.40 to $116,251.20 per year. Additional compensation may include shift differentials, standby/on-call pay, overtime, premiums, extra shift incentives, or bonus opportunities.

Benefits

• Medical, dental, and vision plans.
• Adoption, fertility, and surrogacy reimbursement up to $10,000.
• Paid time off and sick leave.
• Paid parental and family caregiver leave.
• Emergency backup care.
• Long-term, short-term disability, and critical illness plans.
• Life insurance.
• 401k/403B with employer match.
• Tuition assistance up to $5,250 per year and discounted educational opportunities through Guild Education.
• Student debt pay down up to $10,000.
• Pet insurance.
• Legal resources plan.
• Opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria are met.