Physician Credentialing Analyst

Physician Credentialing Analyst

The Physician Credentialing Analyst is responsible for supporting the organization's credentialing and re-credentialing compliance programs, with a focus on Medicaid and Medicare provider enrollments. Provides analyses and reporting for the organization wide administration of the credentialing and re-credentialing compliance function. Evaluates and reports on compliance standards with internal policies and procedures and external vendor credentialing standards. Must be able to attend meetings on-site at the Corporate Miramar, Florida office.

• Brings to the attention of internal management any issues which could cause the organization potential losses due to adverse legal action or risk irregularities.
• Collects physician related documentation from programs to ensure credentialing process is coordinated accurately and timely in compliance with defined schedules.
• Conducts studies, performs research and prepares reports.
• Confers with Risk Management Department and Legal Department as needed to avoid potential compliance issues.
• Develop standard and ad hoc reports, templates, dashboards, scorecards, and metrics.
• Maintains accurate and up-to-date computerized database.
• Meet with management to discuss and clarify requests for projects, highlight issues, and make recommendations to address issues and priorities.
• Performs data analysis and utilizes results to create reports and presentations.
• Safeguards the integrity of the credentialing administration function by exercising good judgment, and sharing best practices among the programs.
• Serves as subject matter expert in the credentialing compliance function. Confers with program management and staff. Provides guidance to ensure proper documentation meets internal and external compliance standards.
• Write detailed reports and make oral presentations to management.

Qualifications:

• Organizational, analytic, and problem solving skills
• Personal computer skills with knowledge of MS software
• Previous credentialing compliance experience required.
• Ability to maintain confidentiality and handle confidential information.
• Detail oriented with good organization skills.
• Ability to work independently.
• Ability to communicate, both verbally and in writing, with internal and external customers in a professional, courteous manner.
• Ability to communicate tactfully, verbally and in writing with department heads, managers, coworkers and vendors to resolve problems and negotiate resolutions.
• Working knowledge of computers, internet access, and the ability to navigate within an automated systems as well as a variety of software packages such as Outlook, Excel and Word.

Education:

• Bachelor's degree in Business Administration or related field from an accredited college or university or the international equivalent preferred.

Special Instructions to Candidates:

• EOE/AA M/F/D/V

About Us

VITAS Healthcare is the nation's leading provider of end-of-life care, and has the resources and expertise to support your personal and professional growth. As a member of the VITAS team, you'll find fulfillment working for a people-focused organization dedicated to making a difference in the lives of others. You will be more than just an employee: You will be counted on as an expert in your field, and as a valued team member whose efforts are respected and vital to our hospice mission.

All VITAS employees commit to fulfilling their duties and responsibilities with the highest regard for professionalism, collaboration and teamwork, and an eye focused constantly on growth and improvement. We serve with commitment and compassion, and position ourselves for the future by embracing, innovating, and leading change. If you are that person, make your voice heardfind your purpose at VITAS today.

Benefits Include:

- Competitive compensation - Health, dental, vision, life and disability insurance- Pre-tax healthcare and dependent care flexible spending accounts- Life insurance- 401(k) plan with numerous investment options and generous company match- Cancer and/or critical illness benefit- Tuition Reimbursement- Paid Time Off- Employee Assistance Program- Legal Insurance- Roadside Assistance- Affinity Program

Many of our positions offer the opportunity to work day or night shifts, weekdays or weekends.

Choose a Career with VITAS