Temp Administrative Credentialing Specialist (Days) Dallas TX

• CANDIDATE MUST LIVE IN THE STATE OF TEXAS TO QUALIFY FOR THIS POSITION!
• Local candidates preferred; $50/hr rate within 35 miles of facility.
• Non-local candidates; $57/hr rate outside of 35 miles; exempt from on site and would be considered fully remote.
• Access to high-speed internet and secure working environment is required.
• Applicant must have the necessary equipment for the contract; 2 monitors keyboard mouse web camera. If not Agency must supply ahead of start date.

Responsibilities

• Builds and maintains relationships with external vendors and credentialing partners including Aperture & Texas Association of Health Plans
• Administrates reports in external database portals & analyze data confirm accuracy and present to internal department.
• Assists with the oversight of the delegated and non-delegated provider and facility s data.
• Gathers analyzes and reports provider data to internal and external customers.
• Ensures that all practitioners and facilities are evaluated upon entry into the PCHP network and conducts an ongoing review of the providers.
• Identifies opportunities for improvement through the audit process and provide recommendations.
• Accurately tracks reports and follows up on the status of credentialing applications.
• Maintains a strict degree of confidentiality in all areas relating to provider credentials status and provider personal information.
• Familiar with state specific all credentialing department policies and procedures.
• Assist with miscellaneous audits projects throughout the year as required.
• Communicates with Credentialing Manager regarding any or all credentialing delays or issues.
• Other duties as assigned.

• Identifies ways to improve work processes and improve customer satisfaction. Makes recommendations to supervisor implements and monitors results as appropriate in support of the overall goals of PCHP
• Stays abreast of the latest developments advancements and trends in the field by attending seminars/workshops reading professional journals actively participating in professional organizations and/or maintaining certification or licensure. Integrates knowledge gained into current work practices
• Maintains knowledge of applicable rules regulations policies laws and guidelines that impact the area. Develops effective internal controls designed to promote adherence with applicable laws accreditation agency requirements and customer requirements. Seeks advice and guidance as needed to ensure proper understanding

• Advanced proficiency in Microsoft Excel to include Vlookup creating complex function and equations.
• Strong interpersonal problem solving and relationship building skills with positive attitude and demeanor.
• Ability to take initiative to research and form conclusions independently.
• Ability to manage multiple deadlines and time constraints in a fast-paced environment.
• Demonstrated ability to collaborate effectively and work as part of a team including internal and external stakeholders.
• Ability to perform detail work efficiently and with a high degree of accuracy.
• Clear and professional verbal and written communication skills with the ability to clearly explain complex processes.
• Skilled in interpreting analyzing and providing recommendations regarding data accuracy and data collection needs and processes.
• Excellent planning organization time management and documentation skills.

• 3 years of managed care or credentialing analyst experience - REQUIRED
• Bachelors degree required; healthcare business or administration - REQUIRED
• Proficiency in Adobe Pro Microsoft Outlook & SharePoint - REQUIRED
• Experience with CAQH Texas Association of Health Plans (TAHP) NCQA accreditation Aperture or National Provider Data Bank (NPDB) - strongly preferred
• National Association Medical Staff Services (NAMSS) certificate - strongly preferred
• Experience with federal state and/or local managed care statutes - preferred
• Experience with managing provider data is preferred - preferred

• Resume/Work history
• Skills Checklist (analyst compliance/credentialing Microsoft/IT)
• Copy of Certification(s)
• At least 1 reference
• MUST note on profile if Applicant has been a past traveler or FTE of Parkland Health
• MUST include drivers license