Credentialing Specialist
APR Consulting, Inc. has been engaged to identify a Credentialing Specialist
Location: Des Peres, MO 63131
Position: Credentialing Specialist
Pay Rate: $53/hr
Duration: 26 weeks
Expected Shift: 8am to 5pm, 40 hours/week CST
JOB SUMMARY
EXPERIENCE
• Five years' experience in provider credentialing, privilege form development/management, or similar role.
• Credential Stream Experience
• Strong understanding of healthcare regulations and standards.
• Proficiency in provider credentialing and privileging software and tools.
• Excellent analytical and problem-solving skills.
• Strong communication and collaboration skills.
• Attention to detail and ability to manage multiples tasks/project simultaneously.
Job Summary:
The Provider Credentialing and Privileging 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.
Job Responsibilities and Requirements:
PRIMARY 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.
• Performs other duties as assigned.
EDUCATION
• Bachelor’s degree in healthcare administration, information technology/related field, or equivalent combination of experience and education.
Our client is the one of the largest Healthcare Staffing Provider in the United States, to be assigned at one of their affiliated hospitals/healthcare facilities.
This particular client is requiring that all new hires show proof of vaccination. However, accommodations may be made for those with disabilities or religious reasons who cannot obtain a vaccine.
Since 1980 APR Consulting, Inc. has provided professional recruiting and contingent workforce solutions to a diverse mix of clients, industries, and skill sets nationwide.
We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law.
Don't miss out on this amazing opportunity! If you feel your experience is a match for this position please apply today and join our team. We look forward to working with you!
APR Consulting, Inc., is one of the most trusted talent acquisition and workforce solutions providers in the United States. Known for exceptional responsiveness, agile strategies, and consistently high-level talent, the firm has become a go-to for organizations and managed services providers navigating complex change and urgent challenges. Since its founding in 1980, APR has transformed from a California IT-focused staffing firm to a full-service solutions provider filling a wide range of positions and serving over eight industries — including aerospace and defense, healthcare, IT, telecom, hospitality/gaming, sports/entertainment, government, and utilities –– in all 50 states, with a loyal roster of more than 850 specialized professionals.