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Credentials Manager Jobs in Florida (NOW HIRING)

CCP Cares

Credentialing Coordinator

Sunrise, FL · On-site

Re-credentials existing providers in all applicable lines of business from inception through ... Responsible for Epic Tapestry Customer Relationship Management (CRMs) requests for terminations ...

NuView Health

Credentialing Specialist

Boca Raton, FL · On-site

Manage the entire credentialing and re-credentialing process for medical and allied health staff. * Identify and resolve issues or discrepancies, ensuring thorough investigation and appropriate ...

Armada Ltd

Credentialing Specialists

Jacksonville, FL · On-site

View, manage, and check daily appointments in time trade scheduling tool * Credentialing Specialists shall perform enrollment and Issuance of Identification Cards to include PIV/Smart IDs, Access ...

Armada Ltd

Credentialing Specialists

Jacksonville, FL · On-site

View, manage, and check daily appointments in time trade scheduling tool Credentialing Specialists shall perform enrollment and Issuance of Identification Cards to include PIV/Smart IDs, Access Cards ...

Armada Ltd

Credentialing Specialists

Tampa, FL · On-site

View, manage, and check daily appointments in time trade scheduling tool * Credentialing Specialists shall perform enrollment and Issuance of Identification Cards to include PIV/Smart IDs, Access ...

Armada Ltd

Credentialing Specialists

Tampa, FL · On-site

View, manage, and check daily appointments in time trade scheduling tool Credentialing Specialists shall perform enrollment and Issuance of Identification Cards to include PIV/Smart IDs, Access Cards ...

Armada Ltd

Credentialing Specialists

Plantation, FL

View, manage, and check daily appointments in time trade scheduling tool * Credentialing Specialists shall perform enrollment and Issuance of Identification Cards to include PIV/Smart IDs, Access ...

Nova Medical Services

Credentialing Specialist

Miami, FL · On-site

$22 - $25/hr

Position Summary The Credentialing Specialist will be responsible for managing the credentialing and recredentialing process for healthcare providers while ensuring compliance with federal, state ...

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Credentials Manager information

What is a credentials manager?

A Credentials Manager is a professional responsible for overseeing, maintaining, and securing access credentials such as passwords, certificates, and digital keys within an organization. Their role typically involves implementing policies and systems that ensure only authorized individuals can access sensitive information or systems. They may use credential management software to automate password changes, monitor usage, and enforce security protocols. Credentials Managers play a critical role in protecting an organization's data and preventing unauthorized access.

Is credentialing a hard job?

Credentialing is a detail-oriented role that involves verifying qualifications, licenses, and certifications of healthcare providers or professionals. It requires strong organizational skills, attention to accuracy, and familiarity with industry standards and documentation processes, which can make it challenging for some individuals. The difficulty level depends on the complexity of the credentialing requirements and the workload involved.

What are common challenges faced by a credentials manager, and how can they be addressed?

A Credentials Manager often encounters challenges such as keeping up with frequently changing regulatory requirements, managing large volumes of sensitive data, and ensuring timely renewals for staff credentials. Staying organized with robust tracking systems and maintaining clear communication with team members can help prevent lapses or compliance issues. Additionally, adopting credentialing software and regular training on industry standards can significantly reduce errors and improve efficiency in the role.

What is the difference between Credentials Manager vs Credential Analyst?

AspectCredentials ManagerCredential Analyst
Required credentialsCertifications in security, IT, or compliance; experience in credential management systemsCertifications in data analysis, security, or compliance; knowledge of credential standards
Work environmentCorporate, IT departments, security teamsCompliance departments, security teams, data analysis units
Employer and industry usageUsed in IT, security, and corporate compliance sectorsCommon in security, compliance, and auditing fields
Search and comparison intentUnderstanding roles related to credential management and securityAnalyzing credential data and compliance status

While both roles involve handling credentials, a Credentials Manager primarily oversees the secure storage and management of credentials within organizations, focusing on security and access control. A Credential Analyst, on the other hand, analyzes credential data for compliance, validation, and auditing purposes. Both roles are vital in security and compliance sectors but serve different functions within organizations.

What skills and qualifications are needed to thrive as a credentials manager?

To thrive as a Credentials Manager, you need strong organizational skills, attention to detail, and a solid understanding of compliance and credentialing processes, often supported by a degree in business administration or a related field. Familiarity with credentialing software systems, databases, and knowledge of industry standards such as NCQA or Joint Commission requirements is essential. Excellent communication, problem-solving abilities, and discretion are valuable soft skills for managing sensitive information and coordinating with diverse stakeholders. These skills ensure accurate credential management, regulatory compliance, and smooth operations in organizational environments.
What are the most commonly searched types of Credentials jobs in Florida? The most popular types of Credentials jobs in Florida are:
What cities in Florida are hiring for Credentials Manager jobs? Cities in Florida with the most Credentials Manager job openings:
Credentials Manager jobs near you

Credentialing Coordinator

CCP Cares

Sunrise, FL • On-site

Other

Re-posted 3 days ago

Job description

Position Summary:
The Credentialing Coordinator is responsible for the timely and compliant re-credentialing (renewal) of physicians and allied providers according to state and federal requirements, NCQA accreditation standards, Medicare and Medicaid guidelines, and Community Care Plan (CCP) Credentialing policies and procedures.
Essential Duties and Responsibilities:
  1. Re-credentials existing providers in all applicable lines of business from inception through completion.
  2. Contacts providers and designated credentialing administrators to obtain all necessary documentation to re-credential providers in a timely fashion to ensure no gaps between cycles.
  3. Validates documents to ensure accuracy of all credentialing elements, completeness of information, and qualifications relative to accreditation credentialing standards, state and federal guidelines, and CCP criteria.
  4. Updates and maintains data provider records in credentialing database, focusing on accuracy and interpreting or adapting data to conform to defined data field uses, and in accordance with internal policies and procedures.
  5. Electronically tracks and follows-up on appropriate verifications for efficient, high-volume processing of recredentials in accordance with applicable credentialing standards, established procedural guidelines, and strict timelines.
  6. Responsible for Epic Tapestry Customer Relationship Management (CRMs) requests for terminations, updates, and other credentialing tasks.
  7. Screen providers across various systems, platforms, and databases such as the National Practitioner Database (NPDB), System for Award Management (SAM), the Office of Inspector General (OIG), the Agency for Healthcare Administration (AHCA), Social Security Death Master File (DMF), NPI registry, and the Florida Medicaid Provider Master List (PML).
  8. Conducts board certification and Florida state licenses and certifications primary source verifications.
  9. Confirms provider hospital affiliations, malpractice insurance or self-insurance status, and Tax Identification Number.
  10. Identifies, analyzes, and resolves extraordinary information, discrepancies, time gaps and other idiosyncrasies that could adversely impact ability to re-credential providers.
  11. Maintains inter-departmental relationships with Provider Operations and Provider Data Management teams to ensure efficient, timely, and accurate processing of provider applications, and network enrollments, updates, and terminations.
  12. Reports problems to Credentialing Management and makes sound decisions in accordance to credentialing policies and procedures, federal, state, local and government/agency regulations.
  13. Responds to internal and external inquiries regarding credentialing status.
  14. Participates in credentialing projects with selected provider groups and subcontracted vendors.
  15. Assists providers on the Credentialing Hotline and respond to voicemails in a timely fashion, usually within 24-48 business hours.
  16. Maintains professional growth and development through seminars, workshops, professional affiliations, and self-education, including staying current with department policies and procedures, to keep abreast of latest developments to enhance understanding of various regulations and legislation of the health care industry.
  17. Perform miscellaneous job-related duties as assigned.

This job description in no way states or implies that these are the only duties performed by the employee occupying this position. Employees will be required to perform any other job-related duties assigned by their supervisor or management.
Qualifications:
  • Associates degree, or equivalent combination of education and experience (preferred).
  • One (1) year provider credentialing or onboarding experience, or combination.
  • Must have working knowledge of managed care or healthcare environment.
  • Records and/or database management experience.
  • Microsoft Word and Excel experience.
  • One (1) year of customer service experience.
Skills and Abilities:
  • Analytical skills
  • Detail-oriented
  • Self-directed
  • Exhibit independent judgment
  • Results-oriented
  • Self-motivated
  • Communicate proficiently in English
  • Professional oral and written communication skills
  • Project management skills
  • Information research skills
  • Define problems, collect data, establish facts, and draw valid conclusions
  • Read, analyze, and interpret common scientific and technical journals, financial reports, and legal documents
  • Respond to common inquiries or complaints from customers, regulatory agencies, or members of the business community
  • Maintain strict confidentially and handle sensitive information
  • Ability to learn new applications to function effectively in a remote work environment
  • Establish priorities with independent coordination of day-to-day aspects

Physical Demands:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit, use hands, reach with hands and arms, and talk or hear. The employee is frequently required to stand, walk, and sit. The employee may occasionally be required to stoop, kneel, crouch or crawl. The employee may occasionally lift and/or move up to 15 pounds.
Work Environment:
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of the job. The environment includes work inside/outside the office, travel to other offices, as well as domestic travel. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate.
We are an equal opportunity employer who recruits, employs, trains, compensates and promotes regardless of age, color, disability, ethnicity, family or marital status, gender identity or expression, language, national origin, physical and mental ability, political affiliation, race, religion, sexual orientation, socio-economic status, veteran status, and other characteristics that make our employees unique. We are committed to fostering, cultivating, and preserving a culture of diversity, equity, and inclusion.
Background Screening Notice:
In compliance with Florida law, candidates selected for this position must complete a Level 2 background screening through the Florida Care Provider Background Screening Clearinghouse.
The Clearinghouse is a statewide system managed by the Agency for Health Care Administration (AHCA) and is designed to help protect children, seniors, and other vulnerable populations while streamlining the screening process for employers and applicants.
Additional information is available at:
hhttps://info.flclearinghouse.com

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