Credentialing Sr. Specialist jobs in United States
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Oak Street Health, part of CVS Health · 13 hours ago

Credentialing Sr. Specialist

Oak Street Health, part of CVS Health, is dedicated to reshaping healthcare by providing personalized primary care for older adults on Medicare. The Credentialing Sr. Specialist will be responsible for onboarding, maintaining, and re-credentialing licensed providers, while ensuring compliance with credentialing processes and documentation requirements.

Health CareHealth DiagnosticsHospitalMedicalPrimary and Urgent Care
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Responsibilities

Maintaining multiple databases with highly sensitive physician information while streamlining the paperwork process
Assisting with provider onboarding to confirm receipt of required documents
Preparing provider credentialing applications for committee
Monitor the renewal of all applicable licensure, certifications, and insurance policies such as state licensure, board certification, DEA licenses and enrollment with CMS
Providing regular updates on credentialing progress to other teams within Oak Street Health
Responsible for maintaining all aspects of the CAQH credentialing application and verification process for initial and re-credentialing requests
Assures all practitioner data is accurate and up to date in our credentialing software application, including generating and monitoring reports
Perform other related duties as assigned

Qualification

Credentialing experiencePrimary Source VerificationCredentialing accreditation standardsThird party credentialing systemsCredentialing software experienceProfessional communicationAttention to detailOrganizational skillsIntegrityWork ethic

Required

A minimum of 1 to 2 years prior credentialing experience in the Managed Care, CVO or Hospital setting
Specific knowledge of Primary Source Verification (PSV) and preparation of a provider files for credentialing committee
Knowledge of credentialing accreditation standards such as NCQA, Joint Commission, or CMS
Experience Working with provider rosters and provider data
Knowledge of third party credentialing systems such as CAQH, Availity, CMS (NPPES and PECOS)
All candidates should have professional written and verbal communication skills
Attention to detail and strong organizational skills
High level of integrity and work ethic
U.S. work authorization
Someone who embodies being 'Oaky'

Preferred

Prior experience working in credentialing systems such as CredentialStream (Vertity), Credential MY Doc, Ecco One App, MD Staff is preferred

Benefits

Paid vacation, sick time, and investment/retirement 401K match options
Health insurance, vision, and dental benefits
Opportunities for leadership development and continuing education stipends
New centers and flexible work environments
Opportunities for high levels of responsibility and rapid advancement
Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

Company

Oak Street Health, part of CVS Health

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Oak Street Health is a network of value-based primary care centers serving older adults on Medicare.

Funding

Current Stage
Public Company
Total Funding
$405.33M
2023-02-08Acquired
2022-11-16Post Ipo Debt· $300M
2020-08-06IPO

Leadership Team

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Sarah Bild
Vice President, Marketing and Brand
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Justin Hunt
Senior Medical Director, Behavioral Health
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Company data provided by crunchbase