Credentialing Program Specialist

About Us

Our culture is built on passion, innovation, and transparency. We support each other unequivocally and we value strong communication, which stems from our love for our work, our clients, and our people.

We cultivate an environment that promotes collaboration, taking ownership, and ensuring voices are heard at every level. We believe in enabling innovative self-starters who are passionate about making a positive impact on healthcare administration. We foster continuous growth through our learning & development programs and our commitment to creating a diverse and inclusive culture.


 

Mission:

Help coordinate and manage our Credentialing branch of Delivery Operations and its processes and services.  Support a seamless client experience and deliver on all client SLAs - at all times.  Provide transparency, communication, and documentation of Credentialing processes, workflows, and other artifacts that can be shared internally and with clients.  Build and drive quality measures for the overall Credentialing operation, both within andros and client-facing, ensuring excellence in service delivery, program health, and compliance adherence.

Outcomes:

  • Program Execution

    • Protect our client SLAs by ensuring all deadlines are met on time, with results of the utmost quality.

    • Oversee, with precision, the organization and maintenance of all client documentation, including but not limited to Credentialing & Requirements, policies, criteria, meeting materials, and reports.

    • Perform duties using our established work systems and methods; maintain our structured workflows to support standardized processes and strive to continuously improve them.

    • Manage and assist in the timely resolution of both internal and external requests.

  • Quality Assurance

    • Collaborate with immediate and internal teams (e.g., Compliance, P&E, Client Success, Operations, etc.) to build Quality metrics:

      1. Eliminate errors in our work and client deliverables

      2. Reduce waste and rework

    • Help build and support a metrics-driven, structured workflow to standardize processes across all clients, while accommodating unique client specifications.

  • Process Improvement & Development

    • Support the process for driving both incremental improvements and the next generation of Credentialing.

    • Continuously build on subject matter knowledge and both role-specific and leadership/facilitation competencies.

    • Increase domain expertise by ensuring all Credentialing activities and artifacts are documented, remain current, and trained out appropriately.

Role-Specific Competencies:

  1. Ownership - You own everything in your domain and take responsibility to get results without excuses or blame.  You earn trust through being reliable.

  2. Communication - You are concise, articulate, and timely in all communications.  You listen actively, understand questions (and clarify when unclear), and speak up even when it might be uncomfortable.

  3. Problem Solving - You are able to figure out solutions that others may have missed.  You are able to work autonomously and as a team player when it comes to tackling issues that seem impossible.  You never settle for “good enough”, rather, you operate with a “how can I/we be better?” mentality.

  4. Attention to Detail - You mind the details so nothing slips through the cracks.

  5. Flexibility/Adaptability - You adjust quickly to changing priorities and conditions.  You cope effectively with complexity and change.

  6. Analytical - You structure and process qualitative and quantitative data and draw insightful conclusions from it. You exhibit a probing mind and achieve penetrating insights.

  7. Follow-through on Commitments - You live up to verbal and written agreements without fail.

  8. High Standards - You lead by example and expect personal performance and team performance to be nothing short of the best.


Desired Qualifications: 
  • 2+ years of healthcare credentialing experience.

  • 1-3 years of business analytics / quality assurance experience or Bachelor's degree in Business Administration, Finance, or related discipline.

  • Experience with Microsoft Excel, Jira,  Google Sheets, and Tableau.

  • Thrive in a fast-paced startup environment where flexibility and adaptability are key.


Hourly Range:
$23 - $27

Operations

Remote (United States)

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