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Providence Health & Services Telehealth Licensing and Credentialing Consultant PSJH in Irvine, California

Description:

Providence St. Joseph Health is calling a Licensing and Credentialing Consultant Telehealth to our location in Renton, WA or any of our other state locations in CA, TX, MT, NM, OR and AK.

We are seeking a Licensing and Credentialing Consultant Telehealth to be responsible for the timely management of licensing and credentialing requests for all providers using PH&S telehealth capabilities. Success in this role depends upon developing expert level awareness of regulatory, governing and operating criteria related to the delivery of telehealth. The Licensing and Credentialing Consultant will maintain positive relationships with all Telehealth Providers while supporting their licensing, credentialing, and payer enrollment across multiple states and facilities. They will maintain tracking mechanisms to report out on data related to lead and processing times and call out any efforts at risk. They will develop and maintain positive relationships with MSO partners to facilitate credentialing models supported for telehealth practices. They will collaborate with their team to develop best practice and use standard work to support aligned expectations with MSO and physician partners.

The incumbent performs all duties in a manner that promotes Providence mission, values, and philosophy. In all aspects, he/she serves as a role model for the values and mission of the organization.

In this position you will have the following responsibilities:

  • Develop a deep understanding of the credentialing and licensing requirements pertinent to the delivery of Telehealth services.

  • Work in collaboration with Service Line Leaders, Medical directors, and Provider Network leadership to advise facilities as needed on credentialing and privileging protocol development related to the delivery of Telehealth services to their patients.

  • Work as a liaison between providers and licensing-credentialing offices, facilitate effective and efficient approval of Telehealth credentialing to ensure provider satisfaction.

  • Work as a liaison between providers and payer credentialing offices, facilitate effective and efficient approval of telehealth provider enrollment and ensure provider satisfaction.

  • Develop an effective alert process to inform the provider network leadership and other affected parties when there is a status change for a telehealth provider.

  • Collaborate with other telehealth analysts and IS, organize, prepare, and distribute complex reports utilizing multiple data systems.

  • Train/support staff in the use telehealth provider reference reports and tools.

  • Monitor credentialing through implementations and report out any risks to implementation timelines.

Qualifications:

Required qualifications for this position include:

  • Bachelor’s Degree in healthcare, finance, social science, computer science, biological science, mathematics, or a related field or equivalent education/experience.

  • Minimum of 2 years of experience in healthcare with preference for direct licensing and credentialing experience.

Preferred qualifications for this position include:

  • Telehealth Experience

About the department you will serve.

Providence Strategic and Management Services provides a variety of functional and system support services for all eight regions of Providence Health & Services from Alaska to California. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise.

For information on our comprehensive range of benefits, visit:

http://www.providenceiscalling.jobs/rewards-benefits/

Our Mission

As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.

About Us

Providence Health & Services is a not-for-profit Catholic network of hospitals, care centers, health plans, physicians, clinics, home health care and services guided by a Mission of caring the Sisters of Providence began over 160 years ago. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.

Schedule: Full-time

Shift: Day

Job Category: Project & Program Management (Non-Clinical)

Location: Washington-Renton

Other Location(s): Alaska-Anchorage, Montana-Missoula, Oregon-Portland, California-Irvine

Req ID: 265571

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