Join Our Team as a Credentialing Analyst! Are you detail-oriented and passionate about ensuring healthcare excellence? Our hospital is seeking a dedicated Credentialing Analyst to join our team. In this role, you will play a crucial part in maintaining the highest standards of patient care by verifying and managing the credentials of our medical staff.

Responsibilities: Provide support to Data Management including but not limited to: spreadsheet maintenance, license, degree and insurance product data query in contract and credentialing Demonstrate knowledge of state, federal, and NCQA regulations concerning credentialing. Provide back up for other Credentialing Analysts and to the Credentialing Team as assigned by the Credentialing Supervisor. Utilize NPDB, and the federal cumulative sanction software for credentialing. Initiate and maintain fluid communication with individual providers being credentialed. Maintain complete and accurate records regarding credentialing/re-credentialing for practitioners or facilities as assigned. Prioritize work assignments related to credentialing processes to ensure timely completion with satisfactory results. Initiate consultation with the Medical Director or designee when provider specific information warrants, to include but not limited to NPDB queries, Act 33 & 34, claims histories, licensure, references. Maintain confidentiality concerning queries through all credentialing processes. Track expired data for providers and follow-up appropriately including state licensure, professional references, NPDB, etc. Communicate with Network Management and Contracting regarding providers presenting problems with completing initial credentialing/re-credentialing.