Credentialing and Privileging Specialist

2 days ago

Washington DC USA, United States Blue Water Thinking Full time
Job Title: Credentialing, Privileging, and Onboarding Specialist

Blue Water Thinking is seeking a highly skilled and experienced Credentialing, Privileging, and Onboarding Specialist to join our team. As a key member of our team, you will be responsible for performing a wide range of credentialing and privileging tasks, including enrollment, primary source verifications, and managing healthcare practitioner records.

Key Responsibilities:

  • 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).

Preferred Qualifications:

  • Experience in federal contracting, particularly with the Department of Veterans Affairs (VA).
  • Experience using VHA VetPro systems for credentialing and privileging processes.
  • Knowledge of Medical Staff Bylaws and compliance with state and federal regulations.
  • Strong understanding of National Practitioner Databank and State Licensing Board reporting.

Eligibility:

  • Must be legally authorized to work in the United States without the need for employer sponsorship, now or at any time in the future.
  • Must be able to obtain and maintain the required federal public trust clearance for this role.

Compensation:

Salary for this position is determined by various factors, including but not limited to location, the candidate's particular combination of knowledge, skills, competencies, and experience, as well as contract-specific affordability and organizational requirements.

The proposed salary range for this position is $60,000 - $80,000.

Blue Water Thinking offers a comprehensive benefits package including health insurance (medical, dental, and vision), paid time off, federal holidays, and a matching 401K plan.

Our Commitment to Diversity:

Blue Water Thinking, LLC (BWT) is an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, marital status, disability, veteran status, sexual orientation, genetic information, or any other protected status.

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