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Associate II, Delegated Credentialing

Company: Oak Street Health

Title: Associate II, Delegated Credentialing

Location: Remote; Treehouse

Role Description

The Delegated Credentialing Associate II will work closely with our licensed providers to onboard,maintain, and re-credential our providers in all OSH markets. The role will include supporting the primary source verification processes and working closely with external agencies. On behalf of our physicians, you will provide formal, detailed documentation of their professional histories to these groups, and thoroughly track the process to ensure follow-through from start to finish. Experience should include responsibility for medical and professional credentialing processes, policies and procedures and delegated credentialing requirements. Other responsibilities include:

  • Maintaining multiple databases with highly sensitive physician information while streamlining the paperwork process.
  • Assisting with provider onboarding to confirm receipt of required documents.
  • Preparing provider credentialing applications for committee
  • Monitor the renewal of all applicable licensure, certifications, and insurance policies such as state licensure, board certification, DEA licenses and enrollment with CMS
  • Providing regular updates on credentialing progress to other teams within Oak Street Health.
  • Responsible for maintaining all aspects of the CAQH credentialing application and verification process for initial and re-credentialing requests.
  • Assures all practitioner data is accurate and up to date in our credentialing software application, including generating and monitoring reports
  • Oversee accuracy of data entered into communication tools (spreadsheet and software dedicated to credentialing)
  • Escalate concerns or missed deadlines to management for further review
  • Support with team members for submission of provider information to payers
  • Propose process improvement and/or workflow change suggestions to management
  • Assist in training new credentialing specialists and associates to understand the workflows and tools necessary to perform the jobs
  • Perform administrative and other duties as delegated

What are we looking for?

  • Associate’s degree or minimum 3-5 years’ credentialing work experience.
  • Professional communication skills.
  • Certified Provider Credentialing Specialist (CPCS) preferred
  • Attention to detail and strong organizational skills.
  • Sense of urgency.
  • Flexible and positive attitude.
  • High level of integrity.
  • U.S. work authorization.
  • Someone who embodies being Oaky


What does being Oaky look like?

  • Radiating positive energy
  • Assuming good intentions
  • Creating an unmatched patient experience
  • Driving clinical excellence
  • Taking ownership and delivering results
  • Being relentlessly determined

Why Oak Street Health?

Oak Street Health is on a mission to rebuild healthcare as it should be, providing personalized primary care for older adults on Medicare, with the goal of keeping patients healthy and living life to the fullest. Our innovative care model is centered right in our patient communities, and focused on the quality of care over volume of services. We are an organization on the move! With over 200+ locations and an ambitious growth trajectory, Oak Street Health is attracting and cultivating team members who embody Oaky values and passion for our mission.

Oak Street Health Benefits:

  • Mission-focused career impacting change and measurably improving health outcomes for medicare patients
  • Paid vacation, sick time, and investment/retirement 401K match options
  • Health insurance, vision, and dental benefits
  • Opportunities for leadership development and continuing education stipends
  • New centers and flexible work environments
  • Opportunities for high levels of responsibility and rapid advancement

Oak Street Health is an equal opportunity employer. We embrace diversity and encourage all interested readers to apply.

Learn more at www.oakstreethealth.com/diversity-equity-and-inclusion-at-oak-street-health

We’re rebuilding healthcare as it should be. Since our founding in 2012, our mission has been to build a primary care delivery platform that directly addresses rising costs and poor outcomes, two of the most pressing challenges facing the United...

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Full-time, remote
DATE POSTED
October 16, 2024

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