Delegated Credentialing Specialist

Company: Oak Street Health

Title: Delegated Credentialing Specialist

Location: Remote; Treehouse

Role Description

The Delegated Credentialing Specialist will work closely with our licensed providers to onboard and maintain their credentials in all OSH markets. The role may also include supporting the primary source verification processes with external agencies and insurance payers. 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 a database of highly sensitive physician information in both internal and third party systems such as CAQH, NPPES, PECOS and Availity. 

• Ensuring that the credentialing software has current information for all assigned providers including: demographic data, licensure, effective dates, audit dates, submissions dates, and other data as required

• Ensuring physicians maintain necessary credentials, such as licensure and board certifications

• Assisting in the preparation of our providers for review at the credentialing committee

• Monitoring upcoming re-credentialing and renewal dates and working with providers to advise them of the required steps to maintain their credentials

• Other duties as assigned 

What are we looking for?

• Associate’s degree or two years’ work experience.

• Computer proficiency.

• Attention to detail and strong organizational skills.

• Sense of urgency.

• Flexible and positive attitude.

• Professional communication skills.

• 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’s communities and focused on the quality of care over the volume of services. We’re an organization on the move! With over 150 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