At BayCare, we are proud to be one of the largest employers in the Tampa Bay area. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With the support of more than 30,000 team members, we promote a forward-thinking philosophy that’s built on a foundation of trust, dignity, respect, responsibility and clinical excellence.
BayCare is currently in search of our newest Team Member who is passionate about providing outstanding customer service to our community. We are looking for an individual seeking a career opportunity with one of the largest employers within the Tampa Bay area.

EDUCATION

• Required HS Diploma or Equivalent GED
• Preferred associate or bachelor’s degree preferred.

EXPERIENCE

• Required - 1 year Credentialing or 1-year Managed Care
  Equal Opportunity Employer Veterans/Disabled

• Responsible for initiating and maintaining credentialing, managed care provider enrollment and hospital privileges for BayCare physicians and providers in accordance with NCQA, CMS, AHCA, State and Federal guidelines and regulations, as well as Department Policies, to ensure compliance with credentialing standards.
• Completes primary source verifications and assesses the provider’s qualifications to ensure the providers meet BayCare’s quality standards.
• Documents all verifications and data in the credentialing database to produce credentialing files that meet BayCare’s quality standards within the time frames required by BayCare.
• Ensure providers remain compliant with all licensing and board requirements and will assist providers with renewals.
• Enrolls and maintains managed care enrollment by providing updates to the health/payor plans and will resolve errors and issues by coordinating with the plans, the CBO and the Managed Care contracting department.