Credentialing Analyst I

BJC HealthCare (New); Northern (KY); Hybrid; USD 52,000 - 76,000; Full time

Benefits offered by this job

Tuition Assistance

401(k) match

Health Insurance

Paid Time Off

Job summary

BJC HealthCare is hiring a Full Time Credentialing Analyst for a remote role, Monday through Friday, with no holidays. The position supports credential verification for medical staff and allied health professionals across initial and reappointment applications.

The ideal candidate has prior credentialing or medical staff office experience, and may hold CPCS or CPMSM certification. Bachelor’s degree preferred; knowledge of regulatory standards is essential.

Qualifications

• Verifies credentials and licensure for initial and/or reappointment applications.
• Maintains credentialing databases and files with accuracy.
• Collaborates with medical staff leadership to meet credentialing standards.
• Involves in process improvement and cross-credentialing efforts.

Responsibilities

• Verifies credentials of medical staff and allied health professionals.
• Maintains accurate data in credentialing databases and files.
• Collaborates with medical staff leadership to ensure standards are met.
• Supports cross-credentialing efforts and process improvements.

Skills

Credentialing

Med staff office experience

Remote work experience

Education

Bachelor's Degree

CPCS/CPMSM Certification

Job description

Additional Information About the Role

BJC is looking to hire a Full Time Credentialing Analyst!

Additional Preferred Requirements

• This is a Remote Role Monday - Friday
• No holidays
• Job duties: Assist in verifying education, licensure and referenceof initialand/ or reappointment physician and AHPproviders
• Preferred experience: Prior Credentialing and/ or medical staff officeexperience, CPCS and/or CPMSM Certification

Overview

BJC HealthCare is one of the largest nonprofit health care organizations in the United States, delivering services to residents primarily in the greater St. Louis, southern Illinois and southeast Missouri regions. With net revenues of $6.3billion and more than 30,000 employees, BJC serves patients and their families in urban, suburban and rural communities through its 14hospitals and multiple community health locations. Services include inpatient and outpatient care, primary care, community health and wellness, workplace health, home health, community mental health, rehabilitation, long-term care and hospice.

BJC is the largest provider of charity care, unreimbursed care and community benefits in the state of Missouri. BJC and its hospitals and health service organizations provide $785.9 million annually in community benefit. That includes $410.6 million in charity care and other financial assistance to patients to ensure medical care regardless of their ability to pay. In addition, BJC provides additional community benefits through commitments to research, emergency preparedness, regional health care safety net services, health literacy, community outreach and community health programs and regional economic development.

BJC’s patients have access to the latest advances in medical science and technology through a formal affiliation between Barnes‑Jewish Hospital and St. Louis Children’s Hospital with the renowned Washington University School of Medicine, which consistently ranks among the top medical schools in the country.

The Credentialing Verification Organization (CVO) is part of BJC HealthCare's Managed Care department. The CVO provides effective systems interface with all BJC Medical Staff Offices and establishes collaborative working relationships to ensure JCAHO, NCQA, and URAC compliance issues as they relate to physician credentialing. In addition, this team manages and provides oversight for cross credentialing efforts among BJC member organizations.

Preferred Qualifications

Role Purpose

Performs activities related to the entities and other affiliated instruction's credential verification process for initial and reappointment applications for medical staff and allied health professionals..

Responsibilities

• Verifies that credentials of medical staff, mid-level, and allied health professionals are in compliance with regulatory bodies, federal, and state agencies.
• Maintains accurate data in credential database and permanent credential files.
• Collaborates with medical staff and leadership to ensure credentialing and processing standards are being met.
• Facilitates problem solving and operating system boards while participating in sub-committees created for ongoing process improvement

Minimum Requirements

Education

• High School Diploma or GED

Experience

• <2 years

Supervisor Experience

• No Experience

Preferred Requirements

Education

• Bachelor's Degree

Experience

• 2-5 years

Licenses & Certifications

• National Ass'n Med Staff Srvcs

Benefits and Legal Statement

BJC Total Rewards

At BJC we’re committed to providing you and your family with benefits and resources to help you manage your physical, emotional, social and financial well-being.

• Comprehensive medical, dental, vison, life insurance, and legal services available first day of the month after hire date
• Disability insurance* paid for by BJC
• Annual 4% BJC Automatic Retirement Contribution
• 401(k) plan with BJC match
• Tuition Assistance available on first day
• BJC Institute for Learning and Development
• Health Care and Dependent Care Flexible Spending Accounts
• Paid Time Off benefit combines vacation, sick days, holidays and personal time
• Adoption assistance

To learn more, go to our Benefits Summary.

*Not all benefits apply to all jobs

The above information on this description has been designed to indicate the general nature and level of work performed by employees in this position. It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job. Equal Opportunity Employer