Allied Health Practitioner Credentialing Coordinator - Military veterans preferred

Oregon Health & Science University

Oregon Health & Science University values a diverse and culturally competent workforce. We are proud of our commitment to being an equal opportunity, affirmative action organization that does not discriminate against applicants on the basis of any protected class status, including disability status and protected veteran status. Individuals with diverse backgrounds and those who promote diversity and a culture of inclusion are encouraged to apply. To request reasonable accommodation contact the Affirmative Action and Equal Opportunity Department at 503-494-5148 or aaeo@ohsu.edu.


Allied Health Practitioner Credentialing Coordinator

US--Telecommuting

Job ID: 2025-34088
Type: Regular Full-Time
# of Openings: 1
Category: Administrative/Office Support
Telecommuting

Overview

• Processes applications for credentialing for both initial appointments and reappointments, as defined by established policies and procedures. This process requires detailed knowledge of legal, state, OHSU, DNV, TJC, and NCQA guidelines in assuring compliance with regulatory standards. Recognizes, investigates and validates discrepancies and adverse information obtained from the application, primary source verifications, or other sources. Regular communication with credentialing contacts is central to ensuring timely and accurate completion of the credentialing process.
• Organization and maintenance of practitioner credential files, which contain confidential peer review information. As applicable when processing practitioner applications, this position involves consistent and professional follow-up for outstanding applications, conducting primary source verification, and other searches such as OIG, Opt-Out and NPDB for presentation to the Credentials Committee. Staff member tracks status of responses, follows up on missing information, and obtains appropriate approvals to assure that prctitioner's credentials and quality files are complete, accurate, and up-to-date. May need to collaborate with physcian leaders and the Medical Affairs Director in accordance with regulatory requirements, accreditation standards, and organizational policies. 
• Maintenance of confidential computerized information on MSOW credentialing database for all applications for appointments and reappointments, as well as any other processing such as status changes and more. Detailed documentation during all steps in the credentialing process and updating and/or revising information in the database regarding credentialing on a daily basis from receipt of application to completion of processing is key.

• High School Diploma or GED required AND 

• 3 years medical staff credentialing experience in a healthcare or insurance provider setting; OR 

• Associates Degree and 3 years experience performing data collection or data analysis using complex database software systems; OR 

• A combination of education and experience.

• Demonstrated software database experience (for efficient generation of letters and other correspondence, activity tracking and report production).

• Familiarity with legal, state, TJC and NCQA guidelines in assuring medical staff compliance with regulatory agencies.

• Associates or Bachelor's Degree
• Experience either with an electronic credentialing database or other systematic mechanism for tracking and managing

PI269834802