CVO Credentialing Coordinator

You have a purpose, unique talents and now is the time to embrace it, live it and put it to work. We value incredible people with incredible skills – but your commitment to a greater cause is something we value even more. This is the heartbeat of our organization and your time will be spent in a supportive, team environment with resources to help you flourish and leaders who care about your success.

Coordinates credentialing activities at the region level; including data entry and physician database maintenance; credentialing processes, expiration and other duties that support provider onboarding activities. Serves as effective liaison between the provider and the facilities throughout the credentialing process. Responsible for understanding State and Federal Regulatory Agencies requirements, accreditation compliance, and other critical matters that affect the healthcare environment. Performs other duties as assigned in an effective competent manner.

• Initiates and oversees the collection of primary source information for credentialing purposes at the region level. Verifies, compiles, manages and maintains confidential research required for credentialing of initial/reappointment applicants.
• Processes applications according to established legal, State and Federal agencies, State licensing board, TJC, and NCQA standards. Coordinates, tracks, and monitors flow of information to ensure the timely processing and notification of applicants in accordance with the guidelines established.
• Conducts thorough analysis of all primary source documentation received for an assessment of qualifications/competencies.
• Assure appropriate education and training including procedural documentation has been provided to support the clinical privileges requested. Identifies any potential quality of care issues, behavioral problems, and/or other issues.
• Summarizes and prepares credentialing information, including information about flagged concerns, for review and decisions.
• Applies the credentials evaluation process uniformly to all initial and reappointment applications to ensure compliance with CommonSpirit Health credentialing procedures.
• Facilitates review, assessment, and authenticated documentation of an evaluation of each application. Serves as primary point of contact for practitioners during credentialing and re-credentialing process.

In addition to bringing humankindness to the workplace each day, qualified candidates will need the following:

• Minimum of (3) years of experience in a Hospital Administrative Department or Credentialing Verification Organization (CVO). Comparable healthcare work experience may be considered.
• Associates degree preferred. In lieu of educational requirements previous work history and years of experience may/will be considered.
• Certified Professional Medical Services Management (CPMSM) and/or Certified Provider Credentialing Specialist (CPCS) Certification preferred.

Physical Requirements - Sedentary work - prolonged periods of sitting and exert up to 10 lbs. force occasionally

We believe in the healing power of humanity and serving the common good through our dedicated work and shared mission to celebrate humankindness.