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Supervisor, Credentialing - Remote
Molina Healthcare Dayton, Ohio; Santa Fe, New Mexico; Washington; Dallas, Texas; Mesa, Arizona; Rio Rancho, New Mexico; Tucson, Arizona; Caldwell, Idaho; Akron, Ohio; Buffalo, New York; Texas; New Mexico; Georgia; Idaho; Warren, Michigan; Fort Worth, Texas; Cedar Rapids, Iowa; Spokane, Washington; Racine, Wisconsin; Las Cruces, New Mexico; Grand Rapids, Michigan; Utah; Kenosha, Wisconsin; Atlanta, Georgia; Bellevue, Washington; Savannah, Georgia; Tacoma, Washington; Iowa; Macon, Georgia; Kentucky; Louisville, Kentucky; Miami, Florida; Detroit, Michigan; Owensboro, Kentucky; Nampa, Idaho; Covington, Kentucky; Omaha, Nebraska; Davenport, Iowa; Layton, Utah; San Antonio, Texas; Wisconsin; Provo, Utah; Milwaukee, Wisconsin; Salt Lake City, Utah; Ohio; Des Moines, Iowa; Columbus, Ohio; Kearney, Nebraska; Rochester, New York; Orlando, Florida; Houston, Texas; St. Petersburg, Florida; Jacksonville, Florida; Bowling Green, Kentucky; Orem, Utah; Albuquerque, New Mexico; Madison, Wisconsin; Vancouver, Washington; Lexington-Fayette, Kentucky; New York; Meridian, Idaho; Roswell, New Mexico; Grand Island, Nebraska; Everett, Washington; Albany, New York; Sioux City, Iowa; Ann Arbor, Michigan; Phoenix, Arizona; Michigan; Tampa, Florida; Columbus, Georgia; Yonkers, New York; Scottsdale, Arizona; Austin, Texas; West Valley City, Utah; Cleveland, Ohio; Syracuse, New York; Idaho Falls, Idaho; Sterling Heights, Michigan; Nebraska; Florida; Chandler, Arizona; Cincinnati, Ohio; Augusta, Georgia; Bellevue, Nebraska; Boise, Idaho; Lincoln, Nebraska; Green Bay, Wisconsin; Iowa City, Iowa Job ID 2033253Job Description
Job Summary
The purpose of the credentialing program is to ensure the Molina provider network consists of providers that meet regulatory and risk management criteria to minimize liability to the company and to maximize safety for members. This position is responsible for supervising the day-to-day operations of the credentialing team to ensure work is completed timely, key performance indicators are met, and ensure compliance with policies and procedures.
Job Duties
• Supervise day to day operations of the Credentialing Department, daily monitoring of production, quality and aging reports, redirecting resources, assigning work to ensure all production standards are met/exceeded and adequate coverage during business hours.
• Weekly coaching and motivating employees to ensure all key performance standards are met. Deliver disciplinary action when needed.
• Interviewing and hiring staff.
• Collaborate with and keep the credentialing leadership team appraised of operational issues, staffing resources, system and program needs.
• Act as a liaison to internal and external customers on behalf of the Credentialing Department to ensure open communication, effective interface, and prompt resolution of identified issues.
• Develop standard operating procedures and other materials for credentialing staff to maximize efficiency and productivity.
Job Qualifications
Required Education:
• High school diploma or GED required.
Required Experience:
• 4-years’ experience in Credentialing.
• Required knowledge of Medicaid, CMS, NCQA and other credentialing regulations.
• Experience leading employees, preferably in a production-related role.
• Demonstrated adaptability and flexibility to changes and response to new ideas and approaches.
• Strong problem-solving skills including root cause analysis and prompt resolution.
• Excellent interpersonal and communication skills (verbal and written).
• Must have strong PC skills (Word, Excel, Outlook, PowerPoint)
• Must have strong presentation and leadership skills.
Required License, Certification, Association:
Preferred Certified Provider Credentialing Specialist (CPCS) or, participation in a CPCS progression program.
Preferred Education: • Bachelor’s degree in a related field or equivalent combination of education and experience required
Bachelor's Degree
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $77,969 - $106,214 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Job Type Full Time Posting Date 08/26/2025Job Alerts
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