Credentialing assistant job description

A3T is seeking qualified candidates to work with our client and provide policy, oversite, compliance guidance, implementation, synchronization, and execution services to meet the Government's mission requirements. We will be providing quick-response services, such as document reviews and preparing technical and procedural information papers, as well as providing technical services in support of conferences and meetings as directed.

The Access Management SME will research and document technologies and processes in the ICAM portfolio for person and non-person entities (NPE), such as, but not limited to, Artificial Intelligence (AI) / Robotic Process Automation (RPA) / Machine Learning (ML) and provide recommendations to use existing or emerging ICAM capabilities to facilitate the Army's evolution into a zero-trust security environment.

In addition, the successful candidate will research and recommend approaches to ensure the Army's ICAM policy and processes supports current and future mission operations to include challenges related to financial audit findings (e.g., orphaned accounts, access controls, segregation of duties, escalation of privileges, etc.), populating/synching strategic and tactical directories, and minimizing time soldiers are disconnected from the network while transitioning from Post, Camps, and stations.
Responsibilities:

Support the CIO in the reviewing and advising on the use of provisioning and directory services

Engage as necessary with Army service providers such as the DCS G-6, PEOs, ARCYBER, NETCOM, DISA, and DMDC to ensure that these services meet the needs of Army users

Research, analyze, and provide recommendations that outline the Army's ICAM capability support to mission needs in various environments (e.g., on-premises, cloud, or hybrid)

Provide reviews and analysis on proposed architectures, capability documents, use case scenarios, and testing methodologies to Army service providers and stakeholders

Research and document current state technologies and processes existing in the Army ICAM and PKI portfolio and provide recommendations for future integration of new capabilities into the Army enterprise

Analyze current state redundancies in the collection and maintenance of identity data to streamline data collection and sharing for the Army

Provide analyses of changes in the Authorization, Access, and credential knowledge space and analyses of reference architectures.

Research industry trends in Policy Decision Point (PDP) and Policy Enforcement Point (PEP) Technologies, and provide recommendations on how they can be incorporated into the Army's ICAM portfolio

Provide analysis and policy recommendations as to the most appropriate Authorization methods for Army system and application owners (will include recommendations to Army service providers on the use of Attribute Based Access Control (ABAC), Role-Based Access Control (RBAC), Token based access, claims-based access, and other models or strategies that may be discovered)

Under general supervision, the Credentialing Coordinator is responsible and accountable for all functions relating to credentialing and re-credentialing of the medical staff and allied health professionals as appropriate for the Baylor Scott & White Health. The Credentialing Coordinator is responsible for the accuracy and integrity of the credentialing database system. The Credentialing Coordinator assures optimum performance of the department and is knowledgeable of Joint Commission for Accreditation of Healthcare Organizations (TJC), Center for Medicare and Medicaid Services (CMS), and other regulatory agencies as they pertain to medical staff and allied health professionals.
The Credentialing Coordinator job duties include, but are not limited to:


Coordinating the credentialing, re-credentialing and clinical privileging process of new applications and reappointment for allied/medical health professionals in compliance with the medical staff bylaws, medical staff policies and procedures, AHP policies, JCAHO, CMS standards and other regulatory agencies.

Processes confidential medical staff and allied health professional files requests

Confirms correct TSCA application (as applicable) is being utilized and is accurate and complete.

Confirms receipt of appropriate privilege cards and supporting documentation for accuracy and completion (as applicable).

Obtains primary source information through utilization of verification software/ databases as well as approved verification sites via the Internet for online and electronic verifications.

Maintains data integrity of the credentialing and software system according to established policies and procedures.



The ideal candidate for the Credentialing Coordinator role will possess knowledge of Health Line System (Medical Staff Line and/or Echo) or other credentialing systems, and have advanced computer skills in word processing, spread sheets and databases.


Location/Facility [Enter Facility Name] (i.e. Baylor Regional Medical Center at Plano)
For more information on the facility, please click our Locations link.


Specialty/Department/Practice [Enter Spec/Dept/Prac] (i.e. Critical Care, Radiology, Family Care)


Shift/Schedule [Enter Shift & Schedule] (i.e. Days, Nights, PRN or Weekends; 30 hours/week_full-time_part-time)


Benefits Our competitive benefits package includes*:
Immediate eligibility for health and welfare benefits
401(k) savings plan with dollar-for-dollar match up to 5%
Tuition Reimbursement
PTO accrual beginning Day 1
*Note: Benefits may vary based upon position type and/or level.
QUALIFICATIONS


- EDUCATION - Assoc or Equiv Experience

- EXPERIENCE - 1-3 years experience required

For over 25 years, Health Choice Network (HCN) has been an employer of choice in South Florida, supporting health centers, patients, and the communities they serve. We are one of the first successful health center-controlled networks and our success is due largely to our Associates and their commitment to advancing our mission to improve the health status of our communities.

Do you want to join an organization that believes in empowering their most precious resource, their Associates? Are you innovative and results driven? HCN is looking for talented, qualified individuals to join our rapidly expanding, first-class team.

Position Summary

The Credentialing Assistant is responsible for providing support and assistance to ensure successful, efficient daily operations of the Credentialing Department.

Position Responsibilities

• Supports and encourages others to support the Mission, Core Values and Goals of Health Choice Network
• Holds and ensures the confidentiality of all company, health center, and provider information at all times
• Act as a liaison between specialists, health plans, and centers as needed to ensure the timely, accurate and successful completion of provider files
• Assists specialists with follow up on provider status
• Implements a monitoring process and maintains all provider CAQH profiles
• Leads the coordination of center and department meetings
• Prepares correspondence, minutes, reports, presentation materials, spreadsheets, customized reports, and related documents in accordance with departmental standards.
• Monitors credentialing emails and responds within 48 hours.
• Develop a deep expertise in the credentialing software application and assist with efforts to maintain and optimize the tool to streamline department operations.
• Provides support with departmental projects
• Other duties as assigned.

Skills, Abilities and Requirements

• Excellent verbal and written communication skills.
• Excellent organizational skills and attention to detail.
• Excellent time management skills with a proven ability to meet deadlines.
• Ability to function well in a high-paced and at times stressful environment.
• Ability to work independently.
• Extensive knowledge of office administration, clerical procedures, and recordkeeping systems.
• Extremely proficient with Microsoft Office Suite or similar software with the ability to learn new or updated software.

Health Choice Network is an equal opportunity/affirmative action employer and complies with all federal and state laws, regulations and executive orders regarding affirmative action requirements in all programs.

HCN is a drug-free workplace.