About Norton Healthcare
For more than 125 years, Norton Healthcare's faith heritage has guided its mission to provide quality health care to all those it serves. Today, Norton Healthcare is a leading health care system based in Louisville, Ky. It is the area's third largest private employer, providing care at nearly 140 locations throughout Greater Louisville and Southern Indiana. The Louisville-based not-for-profit system includes five Louisville hospitals with more than 1,800 licensed beds; five outpatient centers; 12 Norton Immediate Care Centers; 12,000 employees; more than 600 employed medical providers; and in excess of 2,000 total physicians on its medical staff. Norton Healthcare was the 2011 recipient of the prestigious National Quality Forum National Quality Healthcare Award, along with the 2011 Kentucky Hospital Association Quality Award. The organization has consistently been recognized as one of the best places to work in Metro Louisville, the state of Kentucky and nationally. Norton Healthcare and Humana are one of only four national pilot sites, and the only one in Kentucky, to study the Accountable Care Organization (ACO) model through the prestigious Brookings - Dartmouth ACO Pilot Project. More information about Norton Healthcare is available at NortonHealthcare.com.
The Credentialing Manager is responsible for achieving effective performance in terms of overseeing and delegating standard day to day credentialing functions. Contributes to overall operational effectiveness of the Managed Care Department. Collaborates with Managed Care Contractor and System Director of Managed Care. Provides management to the Credentialing team and to Contract Administration Analyst. Develops and works ad-hoc reports as needed. Coordinates and oversees reporting; identifies issues and seeks pro-active solutions with assigned plans. Responsible for the insurance enrollment process for providers in Physician Services for the purposes of enrolling providers in health plans as contracted with the organization. Oversees the development of financial simulation models for contract negotiations and verification work. Coordinates and oversees the performance of revenue forecasting using the models created to determine the impact of contractual obligations. Will maintain knowledge of the contract database used to monitor the variances in claim payments. Position requires organization, troubleshooting and follow-through skills to ensure processes are completed on a timely basis.
- Minimum of three years (3) in a healthcare environment
- Experience using Microsoft office products including Excel, Word and Access. Excellent organizational skills necessary.
- Bachelorís Degree preferred
- Credentialing experience preferred. Minimum of three (3) years management/supervisory experience.
Norton Healthcare offers a competitive benefit package including:
- Medical, Dental and Vision Insurance
- Paid Vacation, Sick Days and Holidays
- Short and Long Term Disability
- 403b Plan
- Flexible Spending Accounts (FSA)
- College Savings Plan
- Children's Choice Day Care Center
- Downtown Fitness Center
- Free Parking
- Screening Requirements: Drug Screen & Criminal Background Check
Norton Healthcare is an EEO/AA employer