Responsible for quality assurance related to the credentialing activities for the Credentials Verification Office (CVO) andpayor enrollment and network managementof the Physician Hospital Organization (PHO)/Medimoreto ensure UnityPoint Health has a provider network of the highest quality. This position is responsible for coordinating and managing resources charged with maintaining the quality of theprovider network data base, including auditing the credentialing activities of the CVO and the payer enrollment and network management process in accordance with Medimore, Inc.’s policies and procedures and regulatory agencies This position shall serve as a liaison between the Credentials Verification Office (CVO), Physician Hospital Organization (PHO), payors, providers, hospital medical staff offices and regulatory agencies in relation to the quality efforts in alignment with NCQA, DNV, the Joint Commission, CMSand other regulatory and accreditation agency requirements.
About UnityPoint Health
Know how much you matter to this world.
UnityPoint Health has a vision for health care, and it starts with you: "Best outcome for every patient every time."
Our team of professionals communicates with you to clearly and effectively address your health care in the most appropriate setting: whether that is a clinic, a hospital or at home. Our 32,000 employees, including home care experts, our hospital teams and more than 1,100 doctors and specialists, focus on your care, your concerns and your health. We are constantly looking for better ways to work together to improve the way health care is delivered.
At UnityPoint Health® we provide care in nine regions throughout Iowa, western Illinois and southern Wisconsin in our hospitals, clinics and home health settings. We are dedicated to making it easier to live well.
Mission: Improve the health
of the people and communities
Vision: Best outcome, every
patient, every time®