National Association of Credential Evaluation Services (NACES) or Association of International Credentials Evaluators (AICE).Employment Type: OTHER
National Association of Credential Evaluation Services (NACES) or Association of International Credentials Evaluators (AICE).Employment Type: OTHER
National Association of Credential Evaluation Services (NACES) or Association of International Credentials Evaluators (AICE).Employment Type: OTHER
National Association of Credential Evaluation Services (NACES) or Association of International Credentials Evaluators (AICE).Employment Type: OTHER
National Association of Credential Evaluation Services (NACES) or Association of International Credentials Evaluators (AICE).Employment Type: OTHER
National Association of Credential Evaluation Services (NACES) or Association of International Credentials Evaluators (AICE).Employment Type: OTHER
National Association of Credential Evaluation Services (NACES) or Association of International Credentials Evaluators (AICE).Employment Type: OTHER
National Association of Credential Evaluation Services (NACES) or Association of International Credentials Evaluators (AICE).Employment Type: OTHER
National Association of Credential Evaluation Services (NACES) or Association of International Credentials Evaluators (AICE).Employment Type: OTHER
National Association of Credential Evaluation Services (NACES) or Association of International Credentials Evaluators (AICE).Employment Type: OTHER
Experience applying budget and fiscal methods, financial management principles, or resource ... You must show proof the education credentials have been deemed to be at least equivalent to that ...
Experience applying budget and fiscal methods, financial management principles, or resource ... You must show proof the education credentials have been deemed to be at least equivalent to that ...
Experience applying budget and fiscal methods, financial management principles, or resource ... You must show proof the education credentials have been deemed to be at least equivalent to that ...
Experience applying budget and fiscal methods, financial management principles, or resource ... You must show proof the education credentials have been deemed to be at least equivalent to that ...
Experience applying budget and fiscal methods, financial management principles, or resource ... You must show proof the education credentials have been deemed to be at least equivalent to that ...
Experience applying budget and fiscal methods, financial management principles, or resource ... You must show proof the education credentials have been deemed to be at least equivalent to that ...
Experience applying budget and fiscal methods, financial management principles, or resource ... You must show proof the education credentials have been deemed to be at least equivalent to that ...
Experience applying budget and fiscal methods, financial management principles, or resource ... You must show proof the education credentials have been deemed to be at least equivalent to that ...
Experience applying budget and fiscal methods, financial management principles, or resource ... You must show proof the education credentials have been deemed to be at least equivalent to that ...
Experience applying budget and fiscal methods, financial management principles, or resource ... You must show proof the education credentials have been deemed to be at least equivalent to that ...
Experience applying budget and fiscal methods, financial management principles, or resource ... You must show proof the education credentials have been deemed to be at least equivalent to that ...
Experience applying budget and fiscal methods, financial management principles, or resource ... You must show proof the education credentials have been deemed to be at least equivalent to that ...
Experience applying budget and fiscal methods, financial management principles, or resource ... You must show proof the education credentials have been deemed to be at least equivalent to that ...
Experience applying budget and fiscal methods, financial management principles, or resource ... You must show proof the education credentials have been deemed to be at least equivalent to that ...
Experience applying budget and fiscal methods, financial management principles, or resource ... You must show proof the education credentials have been deemed to be at least equivalent to that ...
Experience applying budget and fiscal methods, financial management principles, or resource ... You must show proof the education credentials have been deemed to be at least equivalent to that ...
Experience applying budget and fiscal methods, financial management principles, or resource ... You must show proof the education credentials have been deemed to be at least equivalent to that ...
Experience applying budget and fiscal methods, financial management principles, or resource ... You must show proof the education credentials have been deemed to be at least equivalent to that ...
Experience applying budget and fiscal methods, financial management principles, or resource ... You must show proof the education credentials have been deemed to be at least equivalent to that ...
Experience applying budget and fiscal methods, financial management principles, or resource ... You must show proof the education credentials have been deemed to be at least equivalent to that ...
Experience applying budget and fiscal methods, financial management principles, or resource ... You must show proof the education credentials have been deemed to be at least equivalent to that ...
Experience applying budget and fiscal methods, financial management principles, or resource ... You must show proof the education credentials have been deemed to be at least equivalent to that ...
Supervisory Management and Program Analyst
Ponce, PR · On-site
$125K/yr
... manager or comparable management or leadership experiences outside of Federal service. To be ... You must show proof the education credentials have been deemed to be at least equivalent to that ...
Supervisory Management and Program Analyst
Ponce, PR · On-site
$125K/yr
... manager or comparable management or leadership experiences outside of Federal service. To be ... You must show proof the education credentials have been deemed to be at least equivalent to that ...
Supervisory Management and Program Analyst
Mayaguez, PR · On-site
$125K/yr
... manager or comparable management or leadership experiences outside of Federal service. To be ... You must show proof the education credentials have been deemed to be at least equivalent to that ...
Supervisory Management and Program Analyst
Mayaguez, PR · On-site
$125K/yr
... manager or comparable management or leadership experiences outside of Federal service. To be ... You must show proof the education credentials have been deemed to be at least equivalent to that ...
Supervisory Management and Program Analyst
Ponce, PR · On-site
$125K/yr
... manager or comparable management or leadership experiences outside of Federal service. To be ... You must show proof the education credentials have been deemed to be at least equivalent to that ...
Supervisory Management and Program Analyst
Ponce, PR · On-site
$125K/yr
... manager or comparable management or leadership experiences outside of Federal service. To be ... You must show proof the education credentials have been deemed to be at least equivalent to that ...
Supervisory Management and Program Analyst
Caguas, PR · On-site
$125K/yr
... manager or comparable management or leadership experiences outside of Federal service. To be ... You must show proof the education credentials have been deemed to be at least equivalent to that ...
Supervisory Management and Program Analyst
Caguas, PR · On-site
$125K/yr
... manager or comparable management or leadership experiences outside of Federal service. To be ... You must show proof the education credentials have been deemed to be at least equivalent to that ...
Credentialing Manager information
What is a credentialing manager?
Credentialing Managers are professionals responsible for overseeing the process of verifying the qualifications, licenses, and background of healthcare providers before they are allowed to work with patients or participate in insurance networks. They ensure that all providers meet regulatory and organizational standards, and maintain up-to-date records for compliance purposes. Credentialing Managers often work in hospitals, healthcare organizations, or insurance companies, collaborating with medical staff, administrators, and external agencies to manage and streamline the credentialing process.
What does a credentialing manager do?
A credentialing manager monitors the credential status of employees and ensuring they are recertified when necessary. As a credentialing manager, your job duties involve maintaining a database of employee certifications and renewal dates, confirming that employee credentials match the requirements of their job, and helping employees renew their credentials on time by finding test dates and locations. Credentialing managers are most commonly found in the health care industry. Qualifications to become a medical credentialing manager include a bachelor’s degree in human resources, business, or a related field, and industry experience.
What are the key skills and qualifications needed to thrive as a credentialing manager?
To thrive as a Credentialing Manager, you need thorough knowledge of healthcare credentialing processes, compliance standards, and experience with provider enrollment, often supported by a bachelor's degree in healthcare administration or a related field. Familiarity with credentialing software systems like CACTUS or Verity, and understanding of regulatory requirements such as NCQA or The Joint Commission, are typically expected. Attention to detail, strong organizational skills, and effective communication are standout soft skills for this position. These competencies ensure accurate and efficient management of provider credentials, minimize compliance risks, and maintain quality standards within healthcare organizations.
What are some common challenges a credentialing manager faces when maintaining compliance with changing regulations?
Credentialing Managers often encounter the challenge of staying updated with frequently changing industry regulations and payer requirements, which can vary by state and organization. Ensuring that all provider files are consistently accurate and compliant requires diligent monitoring, regular audits, and ongoing staff training. Additionally, coordinating with multiple departments and external agencies to gather necessary documentation while meeting tight deadlines can be demanding. Proactively implementing process improvements and leveraging credentialing software can help manage these complexities effectively.
What is the difference between Credentialing Manager vs Credentialing Specialist?
| Aspect | Credentialing Manager | Credentialing Specialist |
|---|---|---|
| Responsibilities | Oversees entire credentialing process, manages teams, develops policies | Performs credentialing tasks, verifies credentials, maintains records |
| Required Credentials | Typically requires experience in healthcare administration, certifications like Certified Provider Credentialing Specialist (CPCS) | Often requires similar certifications, entry to mid-level experience |
| Work Environment | Management level, strategic planning, team supervision | Operational, detail-oriented, administrative tasks |
| Industry Usage | Used across healthcare organizations, hospitals, clinics | Commonly found in healthcare facilities, physician practices |
The Credentialing Manager focuses on overseeing the entire credentialing process, managing teams, and developing policies, while the Credentialing Specialist handles day-to-day credential verification and record maintenance. Both roles require relevant certifications and healthcare industry experience, but the manager role involves more strategic oversight.
More about Credentialing Manager jobs
What are the most commonly searched types of Credentialing jobs in Puerto Rico?
The most popular types of Credentialing jobs in Puerto Rico are:
What are popular job titles related to Credentialing Manager jobs in Puerto Rico?
For Credentialing Manager jobs in Puerto Rico, the most frequently searched job titles are:
What job categories do people searching Credentialing Manager jobs in Puerto Rico look for?
The top searched job categories for Credentialing Manager jobs in Puerto Rico are:
What cities in Puerto Rico are hiring for Credentialing Manager jobs?
Cities in Puerto Rico with the most Credentialing Manager job openings:
Supervisory Program Manager (Disability Services Section Manager)
Mayaguez, PR • On-site
$125K/yr
Full-time
Posted 13 days ago
Job description
WHAT IS CRCO - Chief Risk & Control Officer?
A description of the business units can be found at: https://www.jobs.irs.gov/about/who/business-divisions
REVIEW THE ADDITIONAL INFORMATION BELOW FOR FURTHER DETAILSQualifications:
FOREIGN EDUCATION: Education completed in foreign colleges or universities may be used to meet the requirements. You must show proof the education credentials have been deemed to be at least equivalent to that gained in conventional U.S. education program. It is your responsibility to provide such evidence when applying. Click here (Section 3, Explanation of Terms) or here for Foreign Education Credentialing instructions.
We recommend choosing an evaluator from a member organization of one of the following national associations of credential evaluation services: National Association of Credential Evaluation Services (NACES) or Association of International Credentials Evaluators (AICE).Employment Type: OTHER
A description of the business units can be found at: https://www.jobs.irs.gov/about/who/business-divisions
- Position(s) are to be filled in following area(s):
- CRCO - Civil Rights Compliance, Disability Services
REVIEW THE ADDITIONAL INFORMATION BELOW FOR FURTHER DETAILSQualifications:
Federal experience is not required. Experience may have been gained in the public sector, private sector or through Volunteer Service. One year of experience refers to full-time work; part-timework is considered on a prorated basis. To ensure full credit for your work experience, please indicate dates of employment by month/day/year, and indicate number of hours worked per week, on your resume.
SPECIALIZED EXPERIENCE: You must have one (1) year of specialized experience at a level of difficulty and responsibility equivalent to the next lower level within the payband or GS grade in the normal line of progression in the Federal service that demonstrates the required managerial skills and technical competence required to perform the job.
To be qualifying for this position your experience must include:
- Experience that demonstrated management/leadership experience such as applying management techniques, methods, theories, principles, or labor relations concepts for the accomplishment of all program objectives with combined technical and administrative oversight. This experience may have been gained through work experience as a project/program manager, team lead or project/program lead, technical advisor, or senior specialist/analyst that included managing resources, providing support to managers, mentoring team members, providing day to day guidance training and/or oversight of peers or others.
- Experience applying regulations, other official guidance, and principles, including the latest procedures and techniques sufficient to oversee the planning, development, and implementation of the technical aspects of programs specific to the position being filled.
- Experience applying communicative techniques to effectively and diplomatically interact with internal and external customers.
- Overseeing and supporting personnel responsible for agency-wide service operations, contract administration, and/or accommodation support activities.
- Providing advice and/or instruction to employees on both work and administrative matters to improve workload efficiency and meet program goals.
- Influencing the effectiveness, accessibility initiatives, and maintain compliance with federal disability requirements across agency operations.
- Communicating both orally and in writing with all levels of management and subordinate employees to provide guidance and direction.
AND
You must also meet the following requirement(s):
- TIME AFTER COMPETITIVE APPOINTMENT (TACA): By the closing date (or if this is an open continuous announcement, by the cut-off date) specified in this job announcement, current civilian employees must have completed at least 90 days of federal civilian service since their latest non-temporary appointment from a competitive referral certificate, known as time after competitive appointment. For this requirement, a competitive appointment is one where you applied to and were appointed from an announcement open to "All US Citizens"
For more information on qualifications please refer to OPM's Qualifications Standards.
Go to Understanding the IRS Paybands for GS/IR conversion.
FOREIGN EDUCATION: Education completed in foreign colleges or universities may be used to meet the requirements. You must show proof the education credentials have been deemed to be at least equivalent to that gained in conventional U.S. education program. It is your responsibility to provide such evidence when applying. Click here (Section 3, Explanation of Terms) or here for Foreign Education Credentialing instructions.
We recommend choosing an evaluator from a member organization of one of the following national associations of credential evaluation services: National Association of Credential Evaluation Services (NACES) or Association of International Credentials Evaluators (AICE).Employment Type: OTHER