<p>Robert Half is partnering with a Wisconsin headquartered healthcare organization in the recruiting for a Credentialing Manager to lead their credentialing operations within their facilities and external provider enrollment and credentialing. This role is responsible for overseeing the full credentialing process for medical staff, ensuring compliance with regulatory and accreditation requirements, and optimizing workflow for timely and accurate provider enrollment. The ideal candidate will bring years of progressive credentialing experience in healthcare, strong leadership skills, and deep knowledge of industry regulations and standards.</p><p><br></p><p>This is a permanent placement opportunity offering competitive salary, benefits, generous paid time off, and flexible schedule with fully remote option. </p><p><br></p><p><strong>Responsibilities:</strong></p><ul><li>Lead the credentialing team to process provider applications, verifications, and re-credentialing activities in accordance with regulatory, payer, and facility requirements </li><li>Develop, implement, and maintain policies, procedures, and workflow improvements to ensure efficient, compliant credentialing operations </li><li>Oversee initial and ongoing verification of practitioner credentials (education, licensure, certifications, work history, malpractice history, etc.) </li><li>Stay current with state, federal, and accrediting body requirements (e.g., NCQA, Joint Commission) and serve as internal subject matter expert for compliance </li><li>Manage relationships and communications with providers, insurance payers, and internal stakeholders to resolve credentialing issues and expedite enrollment</li><li>Prepare for and participate in audits, surveys, and quality assurance reviews; ensure proper documentation and recordkeeping </li><li>Provide regular reporting and analytics to senior leadership regarding credentialing metrics, provider enrollment status, and workflow efficiency </li><li>Hire, train, and mentor credentialing staff; foster a culture of accountability and continuous improvement </li></ul>
We are looking for a Senior Customer Service Representative to join our team in Hartford, Wisconsin. In this Contract to permanent position, you will play a pivotal role in managing customer service operations and ensuring seamless order processing. This role requires a proactive individual with strong organizational skills and a commitment to delivering exceptional service.<br><br>Responsibilities:<br>• Oversee customer service and order management tasks, ensuring timely and accurate processing.<br>• Utilize NetSuite CRM to track and manage customer orders, maintaining detailed records.<br>• Coordinate shipments with trucking companies, warehouses, and suppliers to ensure efficient delivery.<br>• Communicate with customers regarding order updates, delivery schedules, and product availability.<br>• Provide support for quoting and sales administration needs, particularly for industrial clients.<br>• Maintain accurate documentation related to orders, inventory management, and logistics.<br>• Assist in planning logistics and coordinating freight operations to optimize efficiency.<br>• Identify opportunities for workflow improvements and contribute to enhancing operational processes.<br>• Manage administrative functions, including office operations and coordination of documentation.