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Tag E Services Pvt Ltd

An Operations Manager in Healthcare oversees the administrative and operational functions of a healthcare facility (hospital, clinic, nursing home, or medical office) to ensure efficient delivery of patient care, compliance with healthcare regulations, and smooth day-to-day operations. Their role combines healthcare knowledge with operational expertise. Here&rsquo;s a detailed breakdown:1. Healthcare Operations OversightManage daily operations of the healthcare facility to ensure efficiency and quality patient care.Coordinate between clinical and non-clinical departments (nursing, physicians, lab, billing, HR, IT).Monitor workflow, patient throughput, and service delivery to optimize performance.2. Compliance and Regulatory ManagementEnsure adherence to healthcare regulations, accreditation standards (e.g., JCAHO, NCQA, HIPAA).Maintain compliance with licensing, certifications, and internal policies.Prepare for audits and inspections by regulatory agencies.3. Financial and Resource ManagementOversee budgeting, cost control, and resource allocation.Monitor operational expenses and optimize resource utilization.Approve procurement of medical supplies, equipment, and operational tools.4. Staff Management and LeadershipSupervise administrative and operational staff, including scheduling, training, and performance evaluations.Ensure sufficient staffing levels in clinical and non-clinical areas.Promote teamwork and address staff concerns promptly.5. Process Improvement and Quality AssuranceDevelop and implement standard operating procedures (SOPs) for clinical and administrative operations.Analyze performance metrics to improve efficiency, reduce errors, and enhance patient care.Lead initiatives to implement best practices and technological solutions (e.g., EMR/EHR systems, telehealth platforms).6. Patient Experience and SatisfactionEnsure smooth patient admissions, billing, and discharge processes.Address patient complaints and operational issues impacting care quality.Collaborate with healthcare providers to enhance patient safety and satisfaction.7. Reporting and Strategic PlanningTrack key performance indicators (KPIs) related to operations, finances, and patient care.Provide regular reports to senior management.Contribute to long-term strategic planning, capacity management, and service expansion.8. Risk and Safety ManagementEnsure compliance with workplace safety, infection control, and emergency preparedness protocols.Identify operational risks and implement mitigation strategies.Coordinate with clinical leadership to maintain patient safety standards.Key Skills &amp; Qualifications:Knowledge of healthcare regulations, hospital administration, and medical terminology.Strong organizational, leadership, and problem-solving skills.Experience in budgeting, resource management, and process optimization.Excellent communication and interpersonal skills.Familiarity with healthcare technology and EMR/EHR systems.Job Type: Full-timePay: From &#8377;50,000.00 per monthBenefits:<ul><li>Food provided</li></ul>Ability to commute/relocate:<ul><li>pattur, Chennai - 600122, Tamil Nadu: Reliably commute or planning to relocate before starting work (Required)</li></ul>Experience:<ul><li>total work: 1 year (Preferred)</li></ul>

Operations Manager / Chennai location / Work from Office only

A Credentialing Manager is primarily responsible for overseeing and managing the process by which healthcare providers are verified and approved to deliver care within healthcare organizations, insurance networks, or medical facilities. Their role ensures compliance with regulatory standards, accreditation requirements, and internal policies. Here&rsquo;s a detailed breakdown of typical roles and responsibilities:1. Credentialing and Provider VerificationVerify the qualifications, licenses, certifications, and credentials of healthcare providers (doctors, nurses, allied health professionals).Ensure compliance with state, federal, and payer-specific regulations.Maintain accurate and up-to-date credentialing records.Perform primary source verification of education, training, licensure, and work history.2. Compliance and Regulatory OversightEnsure compliance with accrediting bodies such as NCQA (National Committee for Quality Assurance), URAC, The Joint Commission, or state regulatory agencies.Maintain knowledge of current laws, regulations, and industry standards related to provider credentialing.Prepare for and facilitate audits or inspections by external regulatory agencies.3. Credentialing Process ManagementManage the end-to-end credentialing process, from provider application to approval.Track expiration dates for licenses, certifications, and insurance coverage.Oversee re-credentialing processes (usually every 2&ndash;3 years, depending on organization policies).Handle credentialing for new hires, network providers, or contracted professionals.4. Communication and CoordinationServe as the primary point of contact for providers, staff, and external entities regarding credentialing.Coordinate with HR, compliance, legal, and payer departments.Respond to provider inquiries and resolve credentialing issues or delays.5. Data Management and ReportingMaintain credentialing databases and electronic filing systems.Generate reports on credentialing status, compliance, and upcoming renewals.Monitor key performance indicators (KPIs) related to credentialing efficiency and accuracy.6. Staff Supervision and Training (if applicable)Supervise credentialing specialists or assistants.Develop training programs for new staff on credentialing procedures and standards.Ensure team members follow consistent processes and meet deadlines.7. Quality ImprovementContinuously review and improve credentialing processes.Implement best practices to reduce errors and ensure timely provider approvals.Stay informed of emerging trends, technologies, and tools in credentialing.Skills &amp; Qualifications Usually Required:Knowledge of healthcare regulations, licensing, and accreditation standards.Attention to detail and strong organizational skills.Proficiency in credentialing software (e.g., CAQH ProView, symplr, Credentialing Hub).Strong communication, negotiation, and problem-solving abilities.Experience in healthcare administration or medical staff services.Job Type: Full-timePay: From &#8377;50,000.00 per monthBenefits:<ul><li>Food provided</li><li>Health insurance</li><li>Provident Fund</li></ul>Ability to commute/relocate:<ul><li>Chennai District, Tamil Nadu: Reliably commute or planning to relocate before starting work (Preferred)</li></ul>Education:<ul><li>Bachelor's (Preferred)</li></ul>

Credentialing Manager

Join Tag E Services Pvt Ltd and explore 2   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.

Tag E Services Pvt Ltd

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Operations Manager / Chennai location / Work from Office only

Credentialing Manager