Company Statement

Connecticare is a leading health plan in the state of Connecticut and a subsidiary of EmblemHealth, a health and wellness company that provides insurance plans, primary and specialty care, and wellness solutions.  WellSpark is a digital wellness company and national subsidiary of EmblemHealth that offers a full suite of products and solutions to reward people for healthy behaviors. 

Director, Credentialing

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Director and Equivalent
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EmblemHealth
Thanks for your interest in the Director, Credentialing position. Unfortunately this position has been closed but you can search our 139 open jobs by clicking here.

Education, Training, Licenses, Certifications

• BS or BA degree

Relevant Work Experience, Knowledge, Skills, and Abilities

• 10+ years of combined management, credentialing or regulatory affairs experience, preferably in a managed care or
insurance environment. (R)
• 5+ years of experience in Quality Mgmt. & Improvement, Change Management, and Customer Experience. (R)
• Knowledge of delegated credentialing and verification, and related accreditation and certification, requirements. (R)
• Knowledge of medical credentialing procedures and standards. (R)
• Experience with and knowledge of CAQH and credentialing processes. (R)
• Energy, drive and passion for End-to-End excellence and customer experience improvement. (R)
• Excellent collaboration skills and the ability to influence management decisions. (R)
• Strong problem solving and analytical skills that can be applied across all types of business problems. (R)
• Strong communication skills (verbal, written, presentation, interpersonal, facilitation). (R)
• Solid coaching and mentoring skills to continuously develop staff core competencies at vendors. (R)
• Demonstrated Customer Experience focus and 1 year of process improvement experience. (R)
• Ability to work with physicians in a collaborative manner. (R)
• Ability to create, implement, document and audit policies and procedures. (R)
• Ability to manage both direct and indirect remote employees to ensure internal controls are followed. (R)
• Ability to effectively prioritize and execute tasks in a high-pressure environment. (R)

Security Disclosure

If you are offered a job from one of the EmblemHealth family of companies that includes ConnectiCare, AdvantageCare Physicians, and WellSpark, the offer confirmation email will come from “HRTalentAcquisition” with the subject line: “Offer of Employment for (job title)” – Please respond online”.  

 

We never ask you to join a Google Hangout, request you to purchase your own equipment or pay to apply. We do not send email from a third-party email service such as Yahoo or Gmail. 

Pay Disclosure

A good faith estimate of the compensation range for individuals hired to work for the EmblemHealth Family of Companies is provided. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate’s work experience, education/training, internal peer equity, and market and business considerations. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. It is not typical for an individual to be hired at or near the top of the range, as compensation decisions depend on each case’s facts and circumstances. Union roles covered by a collective bargaining agreement will compensate in accordance with the union contract.

EEOC Statement

We are committed to leveraging the diverse backgrounds, perspectives, and experiences of our workforce to create opportunities for our people and our business. We are an equal opportunity/affirmative action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy or related condition, marital status, national origin, disability, protected veteran status or any other characteristic protected by law.

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