Credentialing and Privileging Specialist

11 hours ago

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Blue Water Thinking

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Blue Water Thinking is a VA CVE-certified Service Disabled Veteran Owned Small Business (SDVOSB).

51 - 200

Description

• Perform credentialing and privileging tasks such as enrollment, primary source verifications, and maintaining healthcare provider records. • Assist with the privileging process, ensuring compliance with VA Medical Staff Bylaws. • Correspond with healthcare practitioners regarding credentialing and privileging status and requirements. • Conduct reporting to State Licensing Boards and the National Practitioner Databank as required. • Review and interpret National Practitioner Databank reports and ensure accurate documentation in compliance with VHA standards. • Utilize VHA VetPro systems to manage and track credentialing activities. • Collaborate with healthcare practitioners to complete credentialing applications and ensure timely submission. • Ensure compliance with all applicable laws, regulations, and VA policies related to credentialing and privileging processes. • Support onboarding processes, ensuring credentialing and privileging steps are completed efficiently and coordinating and tracking submission of VA staff onboarding documentation.

Requirements

• Bachelor’s Degree • 2+ years of relevant experience as a credentialing and privileging specialist, with current experience within the VHA (separation within the last two years) • Certified Provider Credentialing Specialist (CPCS) and/or Certified Professional Medical Services Management (CPMSM) certification from the National Association of Medical Staff Services (NAMSS)

Benefits

• health insurance (medical, dental, and vision) • paid time off • federal holidays • matching 401K plan