Lead the team responsible for all credentialing, privileging, licensing, and peer review activities. Set strategic goals and operational plans to ensure efficient and compliant processes. Drive continuous process improvement and achieve significant efficiency gains within clinician services. Ensure compliance with NCQA standards and delegated credentialing agreements for various health plans.
Drive the success of the Patient Engagement Specialist team, focusing on coaching and meeting key performance indicators. Take ownership of the team, ensuring expertise in patient activation and exceeding goals. Monitor, coach, and identify improvements to scale operational excellence. Create best-in-class patient experiences as the patient ambassadors.
Manage day-to-day clinical operations across multiple facilities and oversee and improve key facility metrics, ensuring high-quality care. Track and manage provider timeliness, quality, productivity, and compliance with facility responsibilities. Collaborate on facility metrics, including Five-Star measures, QAPI initiatives, and reducing rehospitalizations. Provide superior customer service by addressing partner issues comprehensively and diligently.