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Credentialing Technical Analyst

2 months ago

Chicago, United States Oak Street Health Full time

Description

Company: Oak Street Health 

Title: Credentialing Technical Analyst 

Location: Remote  

Company Description  

Oak Street Health believes everyone deserves great healthcare the kind you'd want for your own family. We specialize in providing exceptional care for older adults on Medicare, often in underserved communities where there is little or no quality healthcare. 

Oak Street Health is on a mission to rebuild healthcare as it should be with an innovative care model that centers on wellness-based, positive health outcomes for patients, not the volume of services provided. Our unwavering commitment to keeping patients healthy is highlighted by dedicated care teams that take time to get to know each individual, providing the personalized care they need to stay healthy and live life more fully.

We're an organization on the move Our rapidly growing national network of primary care centers is staffed by a team of outstanding care providers, service team members, technologists, community outreach experts, business professionals, and more. For more information, visit . 

  Role Description  

The Credentialing Technical Analyst will be responsible for management of our credentialing database, quality assurance and data analysis. This role will handle all data requests and will provide reports to assist in programmatic decisions. The Credentialing Technical Analyst will also assist in the ongoing maintenance and implementation of new features within our credentialing software. The role will also include supporting the verification processes with government agencies and insurance payers. You will provide formal detailed documentation of our physicians professional histories and thoroughly track the credentialing process to ensure follow-through from start to finish.

Core Responsibilities 

Advance and continuously improve our automation ability in existing systems to enable greater team efficiency, compliance, and output 

Document and train credentialing team members to understand new releases in the credentialing software, workflows and tools necessary to perform their job 

Oversee accuracy of data entered into communication tools (., CredentialStream / Verity, Internal tracker) 

Identify, analyze, and interpret trends or patterns in complex data sets 

Prepare and disseminate analysis reports and presentations to various audiences both internal and external 

Collaborate with internal staff for all evaluation and analysis activities 

Assist in developing actionable metrics to quantify the impact of programming

Assist in creating uniform business rules that will be used in all ad-hoc analyses 

Escalate concerns or missed deadlines to management for further review 

Coordinate with team members to ensure timely submission of provider termination information to payers and data integrity of the Credentialing database 

Propose process improvement and/or workflow change suggestions to management 

Document and train credentialing team members to understand new releases in the credentialing software, workflows and tools necessary to perform their job 

Other duties as assigned 

  What are we looking for?  

A bachelor's degree or minimum of 5 years of credentialing work experience 

Advanced Microsoft Excel skills (PowerPivot, functions, VBA) 

Data management experience; knowledgeable in database rules, writing queries, and relational database creation and management (create, query, relate) 

An analytical mind and inclination for problem-solving 

Professional communication skills with both staff and executive levels 

Attention to detail and strong organizational skills 

Sense of urgency 

Flexible and positive attitude 

High level of integrity 

Experience with CredentialStream/Verity a plus 

Certified Provider Credentialing Specialist (CPCS) a plus 

. work authorization 

Someone who embodies being "Oaky" 


What does being an "Oaky" look like?  

Radiating positive energy 

Assuming good intentions 

Creating an unmatched patient experience 

Driving clinical excellence 

Taking ownership and delivering results 

Being scrappy 

Why Oak Street?  

Oak Street Health offers our coworkers the opportunity to be at the forefront of a revolution in healthcare, as well as: 

Collaborative and energetic culture 

Fast-paced and innovative environment 

Competitive benefits including paid vacation and sick time, generous 401K match with immediate vesting, and health benefits 

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