Provider Credentialing & Compliance Specialist

U.S. Department of Veterans Affairs; Salt Lake City (UT); Hybrid; USD 85,000 - 110,000; Full time

Benefits offered by this job

Telework eligibility

Job summary

U.S. Department of Veterans Affairs in Salt Lake City seeks a subject-matter expert on provider network management, credentialing and facility accreditation to support Care program operations and initiatives.

The role includes evaluating credentialing processes to ensure quality and compliance with standards. The incumbent will analyze data, coordinate audits with contractors, and advise leadership on quality improvements while collaborating with healthcare entities and regulatory bodies.

Qualifications

• Selective Placement Factor requiring experience developing and evaluating programs related to healthcare provider credentialing and facility accreditation.

Responsibilities

• Serves as subject-matter expert on credentialing and facility accreditation activities performed by contracted organizations.
• Reviews credentialing, accreditation, and provider qualification data to identify trends, risks, and opportunities for improvement.

Skills

Provider credentialing

Facility accreditation

Regulatory standards

Data-driven decisions

Job description

U.S. Department of Veterans Affairs in Salt Lake City seeks a subject-matter expert on provider network management, credentialing and facility accreditation to support Care program operations and initiatives.

The role includes evaluating credentialing processes to ensure quality and compliance with standards. The incumbent will analyze data, coordinate audits with contractors, and advise leadership on quality improvements while collaborating with healthcare entities and regulatory bodies.