Senior Credentialing Specialist

🔥 0 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟠 Senior

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Planned Systems International

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1988

💼 Consulting

🎖️ Defense

📦 Logistics

Consulting • Defense • Logistics

Planned Systems International is a company focused on developing innovative solutions at the intersection of health, national security, and federal civilian operations. Since its inception in 1988, PSI has utilized cutting-edge technologies to tackle critical challenges faced by government and civilian agencies, striving to elevate healthcare accessibility through programs like the ARPA-H PARADIGM initiative. The company emphasizes operational efficiency and integrity, while fostering a collaborative work culture to empower its employees and meet diverse client needs.

📋 Description

• Manage the verification process for healthcare professionals, including physicians, dentists, nursing, and allied health • Review applications for completion • Verify state licensure • Collect information from national databanks and federal and state records • Compile applicable security and credential documents • Assemble qualification packages for review by the customer's Security & Credentialing Office • Manage timelines and processing while handling customer expectations • Perform Primary Source Verification (PSV) • Complete verifications and ensure organizational and staff compliance with DHA directives, industry trends, and standard credentialing procedures • Generate and email credentialing-results notification letters to applicants • Respond to applicant questions regarding credentialing status • Promptly respond to inquiries from the customer's Security and Credentialing Office • Provide direct supervision to support staff administering application processing • Implement DHA policies and standards to maintain compliant credentialing operations • Work with applicants and QL staff to support and enhance credentialing functions

🎯 Requirements

• Five plus years of experience in medical credentialing • Overall knowledge of the credentialing and privileging process • Knowledge of required credentials for healthcare professionals • Knowledge of appropriate sources used to complete Primary Source Verification (PSV) and databank queries • Familiarity with, or ability to utilize, applicable policies, guidelines, and regulations for the DoD credentialing process • Two plus years of credentialing experience with the DoD • Ability to interface with all levels of military medical staff • Excellent verbal and written communication skills • Excellent customer relationship skill sets • Skills using MS Office, including Word, Excel, and PowerPoint • Organizational skills • Detail-oriented and accurate work • Bachelor's Degree in Healthcare or related field is desired • Equivalent combination of education, certification, and relevant experience may be considered • Experience in Quality Assurance preferred • Experience in the DoD credentials process preferred • Leadership experience/ability/aptitude

🏖️ Benefits

• Paid leave • Employer-sponsored group medical insurance options • Dental insurance options • Vision insurance options • Short-term disability insurance • Long-term disability insurance • Life insurance • AD&D coverage • Legal services • Identity theft insurance • Accident insurance • Flexible spending account options • Health savings account options • Employer contribution match through the company-sponsored 401(k) retirement plan, immediately vested • Professional courses • Certifications • Tuition reimbursement programs