[Hiring] CVO Manager @Trinity Health

Role Description

Manages all operational aspects of the system Central Verification Office (CVO) Reappointment Team, to ensure an efficient and effective operation in compliance with various regulatory agencies (CMS, TJC, NCQA, etc.). Responsible for the direct oversight and performance management of a file processing team in the CVO.

• Knows, understands, incorporates, and demonstrates the Trinity Health Mission, Vision, and Values in behaviors, practices, and decisions.
• Manages the operational aspects of the Trinity Central Verification Office including reappointment credentialing responsibilities for Trinity RHMs, other healthcare entities as appropriate, and managed care organizations.
• Monitors the department budget, controls staffing levels for appropriate operation, identifies reduction of duplication work effort, and ensures operation within budget.
• Creates and reviews periodic and special reports to ensure conformance with departmental goals and regulatory requirements.
• Assists with establishing staffing plan and manages human resources necessary to ensure an efficient credentialing operation.
• Provides appropriate in-service of credentialing standards, evaluates procedures, and facilitates continuing educational opportunities for staff.
• Plans office staff activities and work projects; supervises personnel to carry out and complete specific projects and duties.
• Manages the activities required to maintain a quality provider network through appropriate activities as specified in the policy and procedure manual.
• Develops and implements process changes to improve the credentialing function.
• Oversees the maintenance of the database to ensure a reliable source of practitioner physician information and privileges.
• Implements policies and procedures to ensure deliverable services to various key users.
• Develops and maintains positive working relationships with customers.
• Develops and implements processes or reviews and revises current credentialing policies and procedures to ensure compliance with Trinity and MCO quality management requirements.
• Facilitates maintenance of present facilities, office equipment, contracted services, etc.
• Establishes and maintains an appropriate customer satisfaction standard; encourages constructive and cooperative conflict resolution.
• Participates in professional development programs to ensure continued professional growth in the health care industry.
• Maintains good rapport and cooperative relationships; approaches conflict in a constructive manner.
• Maintains the confidentiality of information acquired pertaining to patient, physicians, employees, and visitors.
• Maintains a working knowledge of applicable Federal, State and local laws/regulations.

Qualifications

• Must possess a comprehensive knowledge of credentialing and privileging, as normally obtained through a Bachelors' degree or equivalent combination of education, training, and/or experience in health care administration or a related field.
• Five (5) to seven (7) years of health care experience with an understanding of the current health care environment.
• Current CPCS and/or CPMSM eligibility by the National Association Medical Staff Services. Certification required within one year of hire.
• Strong communication skills including the ability to correspond effectively and convey information clearly.
• Strong statistical, analytical and problem-solving skills.
• Ability and desire to provide quality service to others.
• Ability to prioritize and coordinate completion of a number of activities/projects simultaneously.
• Strong organizational skills and attention to detail.
• Ability to work independently, prioritize and handle multiple responsibilities.
• Ability to work autonomously and within a team environment.
• Must be comfortable operating in a collaborative, shared leadership environment.
• Must possess a personal presence characterized by honesty, integrity, and caring.

Requirements

• Prior management/leadership experience within a healthcare environment, preferred.
• Maniacal attention to detail, preferred.
• Experience with MD Staff a plus.
• Must be able to travel to the various Trinity Health sites as needed.
• Ability to complete work during high-pressure periods while maintaining flexibility and a pleasant attitude.

Company Description

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer.