Credentialing Coordinator

Aquent is thrilled to partner with a pioneering leader in the healthcare sector, an organization that is actively redefining patient experiences and revolutionizing care delivery. This innovative company is deeply committed to enhancing the quality and efficiency of healthcare through robust network operations and unwavering data integrity, diligently building strong, compliant provider networks essential for accessible and high-quality patient care. By championing operational excellence and stringent regulatory adherence, they empower healthcare professionals and cultivate profound trust within the communities they serve.

Are you a meticulous and driven professional eager to make a tangible, immediate impact on healthcare delivery? Step into a pivotal role that directly shapes the seamless flow of essential healthcare services by ensuring clinicians meet the highest standards of compliance and credentialing. In this crucial temporary assignment, your expertise will be indispensable in maintaining vital data systems and upholding regulatory adherence, directly contributing to the organization's mission and the well-being of countless individuals. You will be an indispensable force in upholding rigorous standards for healthcare providers, directly influencing operational efficiency, strengthening regulatory standing, and driving critical network activation projects that ensure smooth, high-quality patient access.

What You'll Achieve

• Verify clinician credentials, educational backgrounds, and licensure applications or renewals with meticulous precision, ensuring strict compliance with all business, state, and federal guidelines.
• Execute essential network activation projects and streamline operations to maintain department-wide compliance and optimize efficiency across all initiatives.
• Ensure unwavering adherence to all relevant regulatory and accrediting body standards, including those set by NCQA, URAC, Medicare, Medicaid, and various delegation agreements.
• Maintain accurate and comprehensive data tracking systems, fostering unparalleled provider data integrity across all organizational units and systems.
• Prepare and deliver impactful education and training materials focused on network activation policies, established procedures, and critical quality standards.
• Drive continuous process improvement initiatives, expertly manage diverse stakeholder inquiries, and provide flexible, high-value administrative support across the department.

What You'll Bring

• 1 to 5 years of professional experience in a network activation, credentialing, or licensing-focused role.
• Proven ability to independently verify provider licensure and education credentials with exceptional precision and accuracy.
• Extensive hands-on experience in completing and submitting complex regulatory and credentialing applications efficiently and accurately.
• Exceptional attention to detail coupled with strong administrative and organizational skills that drive efficiency.
• High School Diploma or equivalent.
• Authorization to work in the United States without requiring sponsorship for the duration of the assignment.

Qualifications That Will Set You Apart

• NAMSS Certification as a Certified Provider Credentialing Specialist (CPCS), or demonstrated commitment to earning it within 2 years of eligibility.
• Intermediate proficiency in Google Suite applications, including Gmail, Google Calendar, Google Sheets, and Google Slides.