Director of Provider Enrollment & Credentialing
University of Minnesota Physicians
Minneapolis, MN
University of Minnesota Physicians is a diverse team of professionals delivering compassionate, innovative
care in primary medicine and more than 100 specialties and sub-specialty areas.
Our nationally recognized model for academic medicine merges innovation with patient-centered care. As
an organization, we believe that access to medical advancements improves the lives of patients and their
families, in Minnesota and around the world.
The Director of Provider Enrollment and Credentialing leads and directs the system-wide provider
enrollment/credentialing functions for UMPhysicians, including assessment of current systems, procedures
and personnel to ensure regulatory compliance, accreditation and legal requirements. Evaluates and
recommends process improvements for all employed and outsourced functions, and recommends purchases
of appropriate systems to facilitate best practice operations in the provider enrollment/credentialing
function. Oversees all provider enrollment/credentialing functions, including management of all provider
enrollments/credentialing personnel. Communicates and interacts with physicians, senior leaders, and staff,
within UMMC-FV, other hospital medical staff offices, AHC, third party payers and other appropriate
personnel on provider enrollment/credentialing related issues. Manages the automated provider
enrollment/credentialing databases; the system credentialing edits and other credentialing duties as needed.
Responsible for the Meaningful Use registration process and functions, ensuring all of our providers are
enrolled in the program, initially and then annually or as new providers join, or terminate, as well as
oversees the attestation data entry process. Assists Sr. Director of Contracting and Credentialing Services
on contract negotiations and renewals as needed.
To qualify for this role, you must possess:
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Bachelors Degree in Business Administration, Healthcare Administration or related field or an
equivalent combination of education and directly related experience.
5- 7 years of progressive credentialing management in a large multi-practice setting.
Developed relationships and experience with third party payers around credentialing and contract
issues impacting revenue cycle performance.
Overall understanding of the registration and data entry processes related to Meaningful Use.
Demonstrated knowledge of credentialing database software and the Minnesota Credentialing
collaborative platform.
Outstanding verbal and written communication skills.
Leadership and influence skills.
Critical thinking and problem resolution skills.
Preferred:
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Master’s Degree in Healthcare Administration
CPCS and/or CPMSM certification and hospital credentialing.
Knowledge of risk management and HIMS experience.
Progressive experience working with medical staff leadership, senior management and Joint
Commission requirements.
Proven proficiency with OneApp, ApplySmart, maintains a collaborative working relationship with
local Hospital Medical Staff offices, and the Minnesota Credentialing Collaborative.
We offer a competitive salary and excellent benefits and provide you with the opportunity to enhance your
career in the exciting field of healthcare through rewarding and challenging assignments and the
opportunities for advancement.
To learn more about this exciting opportunity and the benefits offered, apply online at
http://www.umphysicians.org/careers/
UMPhysicians provides equal opportunity in all aspects of employment