[Hiring] Provider Credentialing Analyst @ArchWell Health

Role Description

Reporting to the Director of Provider Credentialing, the Provider Credentialing Analyst is responsible for credentialing new providers and maintaining current provider files for our quickly growing medical group. This hire will partner with current credentialing staff and own the end-to-end credentialing process, including:

• Submitting and tracking credentialing applications to various contracted managed care plans and government payors for oncoming providers
• Maintaining the data for all providers within the group
• Tracking the expiration of certification and licenses
• Acting as a liaison between payors, external credentialing service firms, and medical staff, including physicians

Qualifications

• Must understand Medicare, Medicaid, and managed care plan credentialing requirements
• Familiarity with CAQH (Council for Affordable Quality Healthcare)
• Knowledge of medical terminology
• Strong organization skills
• Good written communication skills
• Ability to work independently
• Ability to conduct research while performing job duties
• Tech savvy and willing to learn CredentialStream
• Excellent communication skills to effectively communicate with all levels of staff including internal and external stakeholders
• Detail oriented

Requirements

• Location: Remote
• Bachelor’s degree preferred
• At least three (3) years of medical credentialing and enrollment experience
• Proficient PC skills

Benefits

• Embodies and serves as a role model of ArchWell Health’s Values:
• Be compassionate
• Strive for excellence
• Earn trust
• Show respect
• Stay resilient
• Always do the right thing