Credentialing Manager Jobs in Reston, VA (NOW HIRING)

Job Title: Credentialing Specialist

Employment Type:Full-Time

Shift:Monday-Friday, day shift
Location: Germantown Hospital

Position Purpose

Coordinates and supports the Medical Staff's credentialing process, including supporting Trinity Health CPI with the processing of new applications, reappointment applications, requests for change of status, End of Provisional reviews and proctoring of new medical staff members. Assists in the development, planning and operational management of the credentialing/privilege delineation and reappointment program to ensure the program's integrity. Provides general administrative support to the organized Medical Staff.

As a Credentialing Specialist, you will:

• Coordinate and facilitate formal and informal credentialing peer review/recommendation processes per established policies and procedures. Initiate information collection, verification and documentation process for appointment/ reappointment per established policies and procedures.

• Handle cognitive analysis of all information received, evaluating adequacy and quality and pursues additional information if necessary for effective and comprehensive peer review decision-making. by Medical Staff officers, department and subsection chairs

• Communicate relevant information regarding appointment/reappointment/clinical privileges to applicant and appropriate Hospital personnel.

• Protect the highly confidential nature of Medical Staff proceedings/actions, and sensitive Medical Staff information including credentialing information, patient materials related to peer review, quality assurance and economic consequences of physician behavior.

• Responsible for selected and confidential correspondence and special projects as requested by the chairs of departments/committees, medical staff officers, department director or Vice President for Medical Affairs. Organize Medical Staff events.

Minimum Qualifications:

• Associate's degree require. Bachelor's Degree preferred.

• Certified Professional Credentialing Specialist (CPCS) preferred.

Pay Range:

• $25.35 - $39.32

• Pay is based on experience, skills, and education. Exempt positions under the Fair Labor Standards Act (FLSA) will be paid within the base salary equivalent of the stated hourly rates. The pay range may also vary within the stated range based on location.

Position Highlights and Benefits:

• Comprehensive benefit packages, including medical, dental, vision, mental health, paid time off, 403B, educationassistanceand voluntary benefits (pet insurance, accident insurance, hospitalindemnityand others) available fromthefirstday of employment.

• Work/Life balance with flexible schedules.

• Free parking

• Our mission and core values are what drive each member of Trinity Health to support each other, communicate openly and respectfully while embracing a culture that nurtures a healing, safe environment for all.

• Referral Rewards Program

Holy Cross Health is a Catholic, not-for-profit health system that serves the two most populous counties in Maryland, Montgomery and Prince George's, with a commitment to being the most trusted provider of health-care services in the area. Founded in 1963 by the Sisters of the Holy Cross, Holy Cross Health is a member of Trinity Health of Livonia, Michigan. Holy Cross Hospital, in Silver Spring, is one of the largest hospitals in Maryland, and Holy Cross Germantown Hospital is the first hospital in the nation built on a community college campus, enhanced by an educational partnership. The Holy Cross Health Network operates primary-care practices and affordable health centers, and offers a wide range of innovative, community-based health and wellness programs. Specialty care, home care and hospice services round out Holy Cross Health's high-quality and coordinated continuum of care that aims to improve health and let you live life on your own terms.

Holy Cross Health is an Equal Employment Opportunity (EEO) employer.

Qualified applicants are considered for employment without regard toMinority/Females/disabled/Veteran(M/F/D/V) status.

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.