Credentialing Analyst

Job not on LinkedIn

🔥 13 minutes ago

🐻 Alaska, California, +4 more states – Remote

🐻 Alaska – Remote 🏄 California – Remote 🦬 Montana – Remote 🌶️ New Mexico – Remote 🌲 Oregon – Remote ☕ Washington – Remote

💵 $30 - $46 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🧐 Analyst

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Providence

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1856

⚕️ Healthcare Insurance

Healthcare Insurance

Providence is a not-for-profit health system committed to providing a wide range of medical services, including primary care, urgent care, pediatrics, maternity care, cancer treatment, and specialized services like neurosurgery and orthopedics. They offer both in-person and virtual care through clinics and a mobile app, ensuring patients can access healthcare conveniently. With a mission rooted in compassion, dignity, and justice, Providence emphasizes serving those who are vulnerable and strives for excellence in healthcare delivery. They are involved in research and innovation, including genomic profiling and clinical trials to improve patient outcomes.

📋 Description

• Responsible for the comprehensive coordination, analysis, and execution of practitioner credentialing and privileging activities for the Alaska Region Medical Staff • Applies critical thinking and regulatory expertise to ensure accurate primary source verification and compliance with medical staff bylaws, organizational policies, and accreditation standards • Evaluates practitioner data to ensure all governance thresholds and eligibility criteria are met prior to committee review • Identifies discrepancies and prepares detailed credentialing files and action summaries to support informed decision-making • Maintains data integrity within credentialing systems, monitors timelines and reporting requirements • Serves as a subject matter resource to medical staff leadership to ensure consistent, compliant credentialing operations

🎯 Requirements

• Bachelor's Degree or 3 years of medical staff credentialing experience, including complex privilege review • Within 2 years of hire: Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services Management (CPMSM) • 2 years of Medical Staff credentialing experience • 2 years of experience with primary source verification, privileging review, and committee file preparation

🏖️ Benefits

• Health care benefits (medical, dental, vision) • Life insurance • Disability insurance • Time off benefits (paid parental leave, vacations, holidays, health issues) • Voluntary benefits • Well-being resources • 401(k) Savings Plan with employer matching