At Snoqualmie Valley Health, we’re not just in the business of healthcare; we’re in the business of empowering our community to live boldly and live well. Our commitment to excellence and innovation calls for team members who will build trust, obsess over excellence, lead innovation, and deepen connections within our community. We are guided by our core values, and we’re looking for someone who can embody those principles as part of our dynamic and growing team.
Located in a trailblazing, adventure-loving town at the base of the Cascades, Snoqualmie Valley Health is an independent public hospital district serving a vibrant community that thrives on both adventure and connection. This is more than a job—it’s an opportunity to be part of something bigger.
JOB TITLE: Credentialing Specialist
POSITION SUMMARY: The Credentialing Specialist is responsible for coordinating Medical Staff credentialing and administrative functions that support the Medical Executive Committee and the Medical Staff as a whole. This role manages the operational aspects of credentialing, privileging, meeting preparation, and other Medical Staff processes in accordance with established schedules, policies, regulatory requirements, and applicable laws.
Assignments are planned and carried out with considerable independence. Work is reviewed by administrative leadership through audits, reports, conferences, and adherence to established management guidelines and regulatory standards.
The Credentialing Specialist cross-trains with the Provider Enrollment Specialist to provide backup support for Provider Enrollment functions as needed.
ESSENTIAL FUNCTIONS:
Build Trust: We exhibit integrity, transparency and compassion in every interaction.
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Interpret, explain, and consistently apply regulatory requirements, Medical Staff Bylaws, the Fair Hearing Plan, Rules and Regulations, and applicable policies.
Obsess Over Excellence: We have high standards and seek continuous improvement.
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Monitor credentialing and privileging processes to ensure applications, verifications, approvals, and renewals are completed accurately and timely.
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Prepare and maintain credentialing-related records, reports, rosters, and other required documentation.
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Participate in performance-improvement activities related to credentialing, privileging, Medical Staff operations, and regulatory compliance.
Lead Innovation: We lead with creativity, agility and think bold in our approach.
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Identify opportunities to streamline, standardize, and improve credentialing, privileging, and Medical Staff administrative processes.
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Recommend the effective use of technology, space, equipment, staffing, and other resources to support departmental operations.
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Adapt credentialing practices, forms, and workflows in response to changing regulatory requirements, organizational needs, and industry best practices.
Deepen Connections: We build strong relationships with our patients, their families and partners in the communities we serve.
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Work collaboratively with Medical Staff leadership and hospital clinical staff to support the appointment, approval, privileging, and ongoing review of practitioners.
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Serve as a knowledgeable resource to practitioners, leaders, and departments regarding credentialing, privileging, and Medical Staff requirements.
QUALIFICATIONS:
Required Education: High School Graduation
Preferred Education: Graduation from an accredited four-year college or university with major course work in business administration or a health care field
Required Licensure: n/a
Preferred Specialty Certification: CPCS, CPMSM or CPES certification required for Credentialing Specialist II
Required Experience: One to three years experience in a health-related field
Skills:
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Ability to communicate effectively and respectfully with people of varied racial, educational and socio-economic backgrounds as well as individuals with disabilities. Skilled in oral, written, and interpersonal communication.
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Advanced computer skills with experience using or the ability to learn organizational and state mandated systems (Symplr, OneHealthPort, PECOs, ProviderOne, CAQH).
WORK ENVIRONMENT:
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Work from home or hybrid with good working conditions, clean, well-lighted, air conditioned, heated area.
PHYSICAL DEMANDS:
OTHER DUTIES: Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
BENEFITS: We believe in taking care of those who take care of our community. We’re proud to offer a comprehensive benefits package that puts your health and well-being first. With our flexible medical plan, you’ll have access to multiple in-network tiers, including top-quality care from Snoqualmie Valley Health, Eastside Health, and First Choice/First Health providers. The best part? Anyone covered under our plan can receive care at SVH at no cost! It's all about giving you the options and support you need to experience life’s great adventures.
Benefit Eligibility Requirements - Employees regularly scheduled at least 20 hours per week.
Employee Dependents - Your legal spouse or domestic partner; dependent children until age 26.
Waiting Period - 1st of the month from the date of hire.
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