Credentialing Support Specialist

1 month ago

Washington, United States Prometheus Federal Services Full time

Prometheus Federal Services (PFS), a trusted partner to federal healthcare agencies, is currently seeking a Credentialing Support Specialist to be a part of a team supporting federal contracts with the U.S. Department of Veterans Affairs (VA) / Veterans Health Administration (VHA).

Essential Duties and Responsibilities
The Credentialing Support Specialist will be responsible for supporting candidate onboarding to the VA and the credentialing process for clinical providers. This role will support the Onboarding and Credentialing Managers in ensuring all providers meet licensure, education, training, and other related requirements. The candidate should have a demonstrated track record of credentialing support experience.

  • Support onboarding, credentialing, and privileging activities for all selected candidates.
  • Document and assist in tracking and reporting of onboarding, credentialing, re-credentialing, and privileging in accordance with regulatory/compliance guidelines as well as Veterans Health Administration requirements including VHA Directive 1100.20.
  • Obtain, track and verify credentials, certifications, state licensures, and other professional credentials as well as maintain on-going compliance checks to ensure credentials remain current.
  • Support the accuracy and integrity of the credential/privileging files, whether in hard copy or electronic form. Work with the Credentialing Manager to ensure compliance with all relevant accreditation and regulatory standards for provider credentialing. 
  • Support and implement policies, processes, and systems to effectively onboard and credential providers across a complex, nationwide healthcare system. 
  • Conduct ongoing reviews and audits of credential files, privileged decisions, and related documentation. 
  • Produce monthly and ad hoc reports to identify any missing data or credentials, any credentials/certifications that are lapsing, and the status of employees’ onboarding activities and credential files.
  • Collaborate with PFS partners and medical staff offices at VA sites as required. 
  • Stay up to date on requirements or changes to VA onboarding and industry credentialing standards and regulations. 
Minimum Qualifications
  • 3+ years’ experience in healthcare administration, business, or related field. 
  • Knowledge of onboarding leading practices and credentialing standards and accreditation processes. 
  • Excellent communication, project management and problem-solving abilities. 
  • Detail-oriented with ability to manage high volume of credentialing requests. 
  • Proficient with credentialing software, databases, and IT systems. 
  • Ability to work in the U.S. without sponsorship indefinitely.
  • Ability to obtain a public trust clearance if required.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or national origin.

This position may be subject to client or government vaccination and masking guidance, policy or requirements as may be changed from time to time.

Work location is flexible if approved by the company except that position may not be performed remotely from Colorado.

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