Credentials Specialist

Job not on LinkedIn

🔥 4 hours ago

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

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Logo of Center for Health Care Strategies

Center for Health Care Strategies

51 - 200 employees

Founded 1998

🏥 Healthcare

💼 Consulting

⚕️ Healthcare Insurance

Healthcare • Consulting • Healthcare Insurance

Center for Health Care Strategies is a U. S. -based organization dedicated to improving the healthcare system to achieve better and more equitable outcomes, particularly for those served by Medicaid. The center focuses on issues like complex health and social needs, mental health, substance use, and aging and disability. It emphasizes cross-sector partnerships, community engagement, and health equity to transform the delivery system and promote value-based payments. The organization also supports leadership and capacity building efforts to drive system reform, including integrating Medicare and Medicaid services and advocating for trauma-informed care and primary care innovation.

📋 Description

• Follow departmental policies to collect data for the verification and evaluation of medical staff credentials • Obtain primary source verification of professional credentials for applicants to the medical staff and practices • Collect data and prepare medical staff reappointment files for committee and physician presentations • Maintain confidentiality of highly sensitive practitioner-specific information • Maintain accurate, complete, and timely information in the credentials software system • Assist in maintaining systems that track expiring documents • Assist in preparing and updating required documents • Prepare reports and release sensitive practitioner-specific information with discretion • Respond to queries regarding pending application status • Perform other duties as assigned

🎯 Requirements

• Associate Degree required • Minimum three (3) years of experience required • CPCS certification required • CPMSM certification required • MD staff experience preferred

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