Credentialing Analyst
Kforce
Kforce has a client that is seeking a Credentialing Analyst in Saint Louis, MO.
Job Summary:
The Credentialing Analyst will be responsible for designing and developing privilege forms for healthcare providers. This role requires a strong understanding of healthcare regulations, provider credentialing, and privilege form development processes. The ideal candidate will have excellent analytical skills, attention to detail, and the ability to collaborate effectively with various stakeholders.
Responsibilities:
* Support the transition to CredentialStream credentialing software, to ensure a smooth implementation and adoption across facility
* Design, develop, and implement standardized privilege forms across multiple facilities for healthcare providers based on regulatory and organizational requirements
* Provide analysis of current credentialing and privileging processes and forms
* Provide data clean up in current system (ECHO) as needed
* Actively support the transition to CredentialStream software, including data migration, process optimization, and approval workflow(s) to enhance efficiency and accuracy
* Support the standardization of credentialing and privileging policies and procedures across facilities
* Assist in reviewing, developing, and updating policies to ensure alignment with current legal, accreditation, and regulatory standards (e.g., TJC, NCQA, CMS, state boards)
* Collaborate with administrative, clinical, and external teams to gather requirements and ensure forms meet the needs of all stakeholders
* Maintain and update existing privilege forms/sets to reflect changes in regulations and organizational policies
* Conduct thorough testing and validation of privilege forms and processes to ensure accuracy and compliance
* Maintain industry trends and best practices in provider credentialing and privilege forms
* Provide training and support staff on the changes/updates and use of new standardized privilege forms
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