Quality Compliance Manager

City/State:

Yonkers, New York

Grant Funded:

No

Department:

CMO - Provider Credentialing Admin

Work Shift:

Day

Work Days:

MON-FRI

Scheduled Hours:

8:30 AM-5 PM

Scheduled Daily Hours:

7.5 HOURS

Pay Range:

$60,800.00-$76,000.00

Job Summary

The Quality Compliance Manager oversees the Quality Compliance program related to the credentialing and privileging process of the Medical and Allied health Staff for all entities in the Montefiore Health System  ensuring consistency, accuracy and compliance with established protocols, accreditation and regulatory agencies.  

Oversees all Regulatory and delegated health plan surveys and audits for all entities of the Montefiore Health System including The Joint Commission, CMS, DOH, NCQA and all delegated health plan requirements. 

Qualifications

• Bachelor's Degree required

• 5 years of experience

• Experience in an Academic Medical Center, Multi-entity health system.

• Experience in Medical Staff Credentialing and Privileging and payor enrollment Credentialing

• Strong understanding of state, federal and accreditation standards (i.e NCQA, TJC, CMS) related to credentialing and enrollment

• Proficiency in credentialing specific software and systems.

• NAMSS certified provider credentialing specialist (CPCS) preferred

Montefiore Medical Center is an equal employment opportunity employer. Montefiore Medical Center will recruit, hire, train, transfer, promote, layoff and discharge associates in all job classifications without regard to their race, color, religion, creed, national origin, alienage or citizenship status, age, gender, actual or presumed disability, history of disability, sexual orientation, gender identity, gender expression, genetic predisposition or carrier status, pregnancy, military status, marital status, or partnership status, or any other characteristic protected by law.