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Work Shift

Day

Work Day(s)

Monday-Friday

Shift Start Time

8:00 AM

Shift End Time

4:30 PM

Worker Sub-Type

Regular

Children’s is one of the nation’s leading children’s hospitals. No matter the role, every member of our team is an essential part of our mission to make kids better today and healthier tomorrow. We’re committed to putting you first, and that commitment is at the heart of our company culture: People first. Children always. Find your next career opportunity and make a difference doing what you love at Children’s.

Job Description

Responsible for all aspects of the credentialing and privileging for members of the Professional Staff and Allied Health Professionals in compliance with regulatory standards and Professional Staff governance.

Experience

3 years of experience in hospital or managed care credentialing

Preferred Qualifications

Bachelor’s degreeWorking knowledge of Cactus Software and related modules (e.g., Application Manager)

Education

Bachelor’s degree in Business or health-related field; or equivalent experience in lieu of degree

Certification Summary

Certified Professional Medical Services Management (CPMSM) or Certified ProviderCredentialing Specialist (CPCS) preferred

Knowledge, Skills, and Abilities

Working knowledge of credentialing and privileging regulatory standards and demonstration of continued professional development in these areasWorking knowledge of Children’s Professional Staff governance documentsAbility to critically analyze data to create informed recommendations for credentialing, recredentialing and privileging. Well-developed organizational, communication and interpersonal skillsAbility to multitask, including organizing, prioritizing, working effectively under pressure, and operating autonomously with minimal supervisionMust be detail-oriented and able to maintain accuracy while meeting established deadlinesAbility to maintain confidentiality of sensitive information

Job Responsibilities

Ensure timely credentialing and re-credentialing of physicians and allied health professionals in compliance with Children’s policies, as well as The Joint Commission and National Committee for Quality Assurance (NCQA) regulatory standards.Compiles evaluate and present practitioner-specific primary source data collected as a part of the credentialing process.Critical analysis of practitioner-specific data to create informed recommendations to Professional Staff leadership.Partner with department and Professional Staff leaders to resolve practitioner-specific issues and concerns.Effectively utilize and maintain practitioner credentialing processes and information systems.Provide expertise and information regarding credentialing and re-credentialing theory, practices, and policies to both internal and external contacts.Attend at minimum two (2) evening Credentials Committee meetings annually.Perform other duties as assigned.

Children’s Healthcare of Atlanta is an equal opportunity employer committed to providing equal employment opportunities to all qualified applicants and employees without regard to race, color, sex, religion, national origin, citizenship, age, veteran status, disability or any other characteristic covered by applicable law.

Primary Location Address

1575 Northeast Expy NE

Job Family

Physician Relations