Credentialing Manager
at The GW Medical Faculty Associates

Date Posted: 5/11/2019

Job Description

Position Summary

To plan and administer the day-to-day credentialing services of the Medical Faculty Associates (“MFA”) to ensure compliance with regulatory agency requirements and University and MFA policies and procedures.

Essential Duties and Responsibilities  include the following.  To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.  Other duties may be assigned.
  • Plans, establishes and administers procedures for conducting daily MFA credentialing services in accordance with the director’s policy guidelines and overall needs of the MFA; coordinates multiple projects; prioritizes work flow and assures deadlines are met
  • Serves as the primary resource for faculty, departments, the MFA Business Office and healthcare plans regarding MFA credentialing services
  • Reviews and processes all healthcare plan applications to include interaction with physicians and departments to assure compliance with healthcare plan credentialing requirements
  • Coordinates the acquisition of temporary and permanent hospital privileges for MFA medical physician faculty and non-faculty providers with The George Washington University Hospital; coordinates the acquisition of temporary and permanent MFA privileges with the MFA Credentials Committee
  • Administers all healthcare plan recredentialing projects for faculty and non-faculty providers through completion to include, but not limited to, interaction with providers, departments and healthcare plans; updating information in the database and file documents; providing up-to-date credentialing and application information on a summary/status form for each application; tracking project progress; providing status reports to the MFA departments; and preparing applications and reports for presentation and approval by the Director, Managed Care.
  • Plans and coordinates the collection of copies of renewed licenses for all faculty and non-faculty providers including District of Columbia/state licenses to practice; federal DEA licenses and District of Columbia/state controlled substance certificates; coordinates renewal of liability insurance certificates with MFA departments and the Risk Management.
  • Monitors faculty and no-faculty provider resignations and assures that their status is transferred to inactive
  • Reviews and implements all faculty and non-faculty provider requests for reactivation from inactive status; coordinates provider reactivation and/or reapplication with the healthcare plan as necessary
  • Ensures the accuracy and integrity of current files and databases; coordinates filling of credentials and documents into individual faculty and non-faculty provider files; coordinates updating database with changes of address, status and other information
  • Prepares monthly reports reflecting the status of credentialing activities.
  • Perform other work-related duties as required.

Education:    Bachelor’s degree in appropriate field or an equivalent of training and experience

Experience:  Three years experience of professional experience within a managed care/healthcare environment, to include two years experience involving the credentialing/recredentialing of healthcare providers.

Job Snapshot

  • Employee Type: Full-Time
  • Location: Arlington, VA
  • Job Type: Management
  • Experience: Not Specified
  • Date Posted: 5/11/2019

About Us

Welcome to The GW Medical Faculty Associates

We are the largest multi-specialty physician practice in the Washington, DC area. When you choose to work for us, you choose to help improve people's health care experience on a daily basis. We seek qualified professionals, from all backgrounds and disciplines, to join our family of physicians and staff. Come join our exciting team as we reshape trends through our innovations and commitment to providing excellent healthcare.

The GW Medical Faculty Associates is an equal opportunity employer who recognizes the value of diversity. Applicants are considered for applicable positions without regards to race, color, religion, sex, sexual orientation, gender identity, national origin, marital or veteran status, disability, or any other category protected under federal, state, or local law.

Join The GW Medical Faculty Associates Talent Network today and stay up to-date on our openings as they continue to become available!

What is a Talent Network?

Talent Networks enhance your job search and application process. Whether you choose to apply or just leave your information, we look forward to staying connected with you.

Why Join?

  • Receive alerts with new job opportunities that match your interests
  • Share job opportunities through Social Media or email

Are you looking for a new job? Check out these current opportunities: Allied Health Jobs, Hot Jobs, Management Jobs, Non-clinical jobs, Nursing / Advanced Practitioner Jobs and Upcoming Events