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Job Description Summary:

The Credentialing Program Coordinator applies the principles of credentialing following the Joint Commission (TJC) accreditation standards or NCQA accreditation standards to independently analyze and review discrepancies within the initial application and reappointment applications received.  This role requires utilization of three sets of Credentialing Policies and Procedures to support TJC accreditation for the OhioHealth hospitals and NCQA accreditation for the OhioHealth Clinically Integrated Network and OhioHealthy Medical Plan.  This position supports the goal to improve patient safety and reduce risk through meeting regulatory and accreditation requirements. 

The Credentialing Program Coordinator role manages and supports the relationship as a front-line liaison between practitioners (physicians, podiatrists, dentists, psychologists, and allied health practitioners), credentialing contacts, as well as hospital departments (ex, Medical Staff Offices, business unit leaders, etc.) and network contacts (CIN, OhioHealthy, other payers and/or delegated arrangements). 

This position also supports the data integrity and functionality of the credentialing database.  This database is a system-wide database housed within the credentialing area, which is interfaced with applications throughout the organization to support provider demographics, billing information, etc.

Minimum Qualifications:

Associate's Degree

SPECIALIZED KNOWLEDGE

Requires knowledge of physician and allied health practitioner credentialing processes along with the ability to apply critical thinking skills to TJC and NCQA credentialing requirements.  Exceptional organization and time management skills are required. The Program Coordinator is detail-oriented with the ability to work independently and apply independent judgement while working on multiple tasks.  This role has an ability to understand and communicate requirements to others.  The Program Coordinator has a high level of professionalism, with excellent verbal, interpersonal and written communication skills.  Strong computer skills with high proficiency in Microsoft Office (Word, Excel, Outlook, PowerPoint) and database applications.  A high level of initiative and ownership is required with the ability to self-motivate and work in a fast-paced environment.  The Program Coordinator works well independently and in team settings.

Work Shift:

Day

Scheduled Weekly Hours :

40

Department

Credentialing And Acquisitions

Join us!
... if your passion is to work in a caring environment
... if you believe that learning is a life-long process
... if you strive for excellence and want to be among the best in the healthcare industry

Equal Employment Opportunity

OhioHealth is an equal opportunity employer and fully supports and maintains compliance with all state, federal, and local regulations. OhioHealth does not discriminate against associates or applicants because of race, color, genetic information, religion, sex, sexual orientation, gender identity or expression, age, ancestry, national origin, veteran status, military status, pregnancy, disability, marital status, familial status, or other characteristics protected by law. Equal employment is extended to all person in all aspects of the associate-employer relationship including recruitment, hiring, training, promotion, transfer, compensation, discipline, reduction in staff, termination, assignment of benefits, and any other term or condition of employment 

Remote Work Disclaimer:

Positions marked as remote are only eligible for work from Ohio.