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Credentialing Manager

talkspace · New York, NY (Remote) · Remote
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<p><span style="font-weight: 400; font-family: helvetica, arial, sans-serif; font-size: 12pt;">At Talkspace, we are committed to fostering a diverse, equitable, inclusive, and belonging-centered workplace where everyone can thrive while making a difference in mental health. Want to help over two million people receive quality mental healthcare? Come join our mission of getting therapy in the hands of everyone!<br></span></p> <p><span style="font-weight: 400; font-family: helvetica, arial, sans-serif; font-size: 12pt;"><span style="color: rgb(0, 0, 0);">We are looking for an experienced Credentialing Manager to join our Credentialing (Clinical Quality Operations) team. This role would be responsible for streamlining operational processes and optimizing credentialing workflows. Key responsibiliti</span>es include assisting in the leadership of Credentialing Interns, Associates, Specialists, and Supervisors to ensure alignment with organizational goals and operational efficiency. We are looking for someone who has experience preparing reports for Credentialing Committees and collaborating with Credentialing Verification Organizations (CVO) to resolve discrepancies, and who wants to bring their talents into a “for purpose” space. To work at Talkspace, you need to be as passionate as we are about our work, and excited to partner with us on delivering quality mental healthcare.</span></p> <p><span style="font-family: helvetica, arial, sans-serif; font-size: 12pt;"><em><span style="font-weight: 400;">This is a remote position working Monday - Friday 9a-6p local time. Talkspace Headquarters is located in NYC but you are not required to live in New York.</span></em></span></p> <p><span style="font-family: helvetica, arial, sans-serif; font-size: 12pt;"><strong>What You’ll Do</strong></span></p> <p><span style="font-family: helvetica, arial, sans-serif; font-size: 12pt;">Supervisor responsibilities</span></p> <ul> <li style="font-family: helvetica, arial, sans-serif; font-size: 12pt;"><span style="font-family: helvetica, arial, sans-serif; font-size: 12pt;">Lead and manage a small group of Credentialing Interns, Associates, and Specialists, overseeing job assignments, performance reviews, and professional development while ensuring alignment with organizational goals.</span></li> <li style="font-family: helvetica, arial, sans-serif; font-size: 12pt;"><span style="font-family: helvetica, arial, sans-serif; font-size: 12pt;">Approve timesheets, provide mentorship, and offer strategic support to optimize team performance and ensure operational success.</span></li> </ul> <p><span style="font-family: helvetica, arial, sans-serif; font-size: 12pt;">Credentialing</span></p> <div id="page-1" class="_1mT5xdRAKS _0KLXrut28M _2XsHFMIZbP _0adFHsIZbP" data-testid="page-0"> <ul> <li style="font-family: helvetica, arial, sans-serif; font-size: 12pt;"><span style="font-family: helvetica, arial, sans-serif; font-size: 12pt;">Ensure streamlining of operational processes related to credentialing</span></li> <li style="font-family: helvetica, arial, sans-serif; font-size: 12pt;"><span style="font-family: helvetica, arial, sans-serif; font-size: 12pt;">Partner with the Senior Credentialing Manager to prepare and present comprehensive credentialing packets for the Credentialing Committee as needed, including flagged file reviews, coordination of logistics, and reporting on credentialing KPIs.</span></li> <li style="font-family: helvetica, arial, sans-serif; font-size: 12pt;"><span style="font-family: helvetica, arial, sans-serif; font-size: 12pt;">Liaise with the Credentialing Verification Organization (CVO) to and the Credentialing Supervisor to ensure the timely completion, downloading, and uploading of files, and maintain accurate system updates reflecting credentialing decisions.</span></li> <li style="font-family: helvetica, arial, sans-serif; font-size: 12pt;"><span style="font-family: helvetica, arial, sans-serif; font-size: 12pt;">Support of the Senior Credentialing Manager to proactively collaborate with the CVO, Credentialing Supervisor credentialing Specialists to address outreach improvements, resolve inconsistencies, and facilitate weekly meetings to enhance the credentialing process.</span></li> </ul> <p><span style="font-family: helvetica, arial, sans-serif; font-size: 12pt;">Re-credentialing</span></p> <ul> <li style="font-family: helvetica, arial, sans-serif; font-size: 12pt;"><span style="font-family: helvetica, arial, sans-serif; font-size: 12pt;">Ensure a timely initiation of the re-credentialing process for the provider network with review of quality and complaint data as well as documentation and movement of providers into the process of re-credentialing to initiate the re-credentialing review</span></li> <li style="font-family: helvetica, arial, sans-serif; font-size: 12pt;"><span style="font-family: helvetica, arial, sans-serif; font-size: 12pt;">Identifying non-engaging, zero-caseload providers and processing them for administrative termination when unresponsive.</span></li> <li style="font-family: helvetica, arial, sans-serif; font-size: 12pt;"><span style="font-family: helvetica, arial, sans-serif; font-size: 12pt;">Seamless and efficient re-credentialing process for the provider network, maintaining compliance with regulatory and organizational standards.</span></li> <li style="font-family: helvetica, arial, sans-serif; font-size: 12pt;"><span style="font-family: helvetica, arial, sans-serif; font-size: 12pt;">Coor

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