Provider Network & Credentialing Manager @ Starkey
Provider Network & Credentialing Manager
Starkey Hearing Technologies is a privately held, global hearing technology company headquartered in Eden Prairie, Minnesota. Founded by Bill Austin in 1967, Starkey is known for its innovative design, development and distribution of comprehensive digital hearing systems. Starkey is the only American-owned and operated provider of hearing technologies. We have more than 6,000 employees, operating in over 25 facilities, and doing business in more than 100 markets worldwide.
We are looking to add a Provider Network and Credentialing Manager that will develop and maintain all aspects of American Hearing Benefits provider network and credentialing functions. This role provides an opportunity to help drive change and execution on a dynamic, cross-functional team. The ideal candidate would have demonstrated success in developing high-performance teams, creating & maintaining new processes, policies and procedures, and supporting rapid network growth and retention. Familiarity with relevant CMS regulations, health network compliance and accreditation is a must.
Global leader in the design, development and distribution of comprehensive hearing technologies
We serve with passion, purpose and excellence
We strive to provide world-class customer service
Here’s the bottom line – we work so people can hear!
Develop and manage a robust provider training and communications program to include in-person, electronic, web-based, on & off-site engagement and a provider support services function
Create and execute a network development strategy to quickly increase the depth and breadth of our network, increase retention and satisfaction, and ensure adequate targets (geographic, Medicare/Medicaid enrollment) are met
Manage provider credentialing function, ensuring that standards are met, and that network data is accurate.
Ensure that providers are in good standing and take actions (censure or expulsion) when they are not, and implement an audit function to regularly measure provider standing
Establish a set of KPIs and champion the development of a dashboard to monitor network health (including credentialing status), quality and provider relations team metrics in real-time
Lead compliance and accreditation efforts, and work cross-functionally to identify and address opportunities for improvement in systems, processes, policies and procedures
You Will Need:
Education: Bachelor’s Degree required; Graduate Degree preferred
3-5 years’ management experience
Experience managing Provider Networks in a healthcare setting required
Experience developing quality management programs preferred
Medicare or Medicaid experience required
Familiarity with URAC, NCQA and other accreditation agencies required
Ability to drive positive change in a growing, changing business
Certified Credentialing Specialist / American Hearing Benefits
6425 Flying Cloud Dr / Eden Prairie, MN 55344