About Our Company
Vytalize Health is a leading value-based care platform. It helps independent physicians and practices stay ahead in a rapidly changing healthcare system by strengthening relationships with their patients through data-driven, holistic, and personalized care. Vytalize provides an all-in-one solution, including value-based incentives, smart technology, and a virtual clinic that enables independent practices to succeed in value-based care arrangements. Vytalize's care delivery model transforms the healthcare experience for more than 250,000+ Medicare beneficiaries across 36 states by helping them manage their chronic conditions in collaboration with their doctors.
About our Growth
Vytalize Health has grown its patient base over 100% year-over-year and is now partnered with over 1,000 providers across 36-states. Our all-in-one, vertically integrated solution for value-based care delivery is responsible for $2 billion in medical spending. We are expanding into new markets while increasing the concentration of practices in existing ones.
Visit www.vytalizehealth.com for more information.
Why you will love working here
We are an employee first, mission driven company that cares deeply about solving challenges in the healthcare space. We are open, collaborative and want to enhance how physicians interact with, and treat their patients. Our rapid growth means that we value working together as a team. You will be recognized and appreciated for your curiosity, tenacity and ability to challenge the status quo; approaching problems with an optimistic attitude. We are a diverse team of physicians, technologists, MBAs, nurses, and operators. You will be making a massive impact on people’s lives and ultimately feel like you are doing your best work here at Vytalize.
Your opportunity
We are currently looking for a Manager of Credentialing who will assist in the day-to-day management of Vytalize enterprise Credentialing. The right candidate will embrace prioritizing the most impactful work, have strengths in rapport building, and enjoy working on a dynamic team of talented individuals working to achieve strategic success through efficient management of value-based programs.
What You Will Do
- Understands and contributes to the Vytalize provider data management strategy.
- Designs and establishes credentialing, re-credentialing, and practice relations policies, procedures, and workflows to support the centralized credentialing program.
- Ensures all credentialing, re-credentialing, audit management, and practice relations policies and procedures follow compliant regulatory requirements.
- Defines and maintains credentialing standards and criteria aligned with regulatory requirements, industry best practices, and organizational goals.
- Stays updated with changes in credentialing regulations and industry trends and proposes adjustments to the program accordingly.
- Ensures compliance with and monitors regulatory standard changes aligning with credentialing regulatory bodies.
- Identify lapse in processes/credentialing
- Collaborates with internal stakeholders to provide insight on relevant laws, regulations, and industry standards.
- Oversees centralized end-to-end credentialing process for all healthcare providers connected to Vytalize business.
- Audits and assesses the effectiveness and efficiency of both delegated and non-delegated credentialing end-to-end processes.
- Oversees and communicates credentialing teams productivity, work quality, accuracy rates, and recommends process improvements and/or resource estimates as needed.
- Coordinates cross-functional collaboration and workstreams with Revenue Cycle Management in relation to downstream financial impact analysis.
- Participates in Payer meetings as needed.
- Oversight of additional Credentialing, reconciliation, and auditing projects as needed
What will make you successful here
- Bachelor’s degree in Business Administration, or related field preferred
- MHA / MBA preferred.
- Certified Professional Medical Services Manager (CPMSM) Preferred
- Certified Credentialing Specialist (CPCS) Preferred
- Minimum of 6 years’ experience in healthcare required.
- Minimum of 3 years in VBC operations with a focus of Credentialing required.
- A firm understanding of credentialing regulatory guidelines.
- Strong ability to build engaged relationships with provider partners and internal stakeholders.
- A firm understanding of relationships among healthcare stakeholders to include primary care providers, specialists, hospitals, and ancillary providers, from both delivery and financial perspectives.
- An understanding of fee for service and capitation payment methodologies.
- Excellent verbal and written communication skills.
- Excellent organizational skills and attention to detail.
- Entrepreneurial spirit, a sense of ownership and comfortable operating independently.
- Solution oriented with the ability to think strategically and creatively in decision-making
- Ability to act with integrity, professionalism, and confidentiality.
- Must be able to work a hybrid schedule in Smithtown, NY, 2-3 days per week
Perks/Benefits
- Competitive base compensation
- Annual bonus potential
- Health benefits effective on start date; 100% coverage for base plan, up to 90% coverage on all other plans for individuals and families
- Health & Wellness Program; up to $300 per quarter for your overall well-being available on start date
- 401K plan effective on the first of the month after your start date; 100% of up to 4% of your annual salary
- Unlimited (or generous) paid "Vytal Time", and 5 paid sick days after your first 90 days
- Company paid STD/LTD
- Technology setup
- Ability to help build a market leader in value-based healthcare at a rapidly growing organization
Salary Range: 95,000-120,000K DOE
Please note at no time during our screening, interview, or selection process do we ask for additional personal information (beyond your resume) or account/financial information. We will also never ask for you to purchase anything; nor will we ever interview you via text message. Any communication received from a Vytalize Health recruiter during your screening, interviewing, or selection process will come from an email ending in @vytalizehealth.com
