Job Summary:


Requests and reviews primary source information and verifications, with regular review from manager. Identifies and plans for resolution of standard and nonstandard gaps in vendor relationships and escalates, as needed. Serves as a main point of contact for external queries regarding practitioner status. Evaluates applications and supporting documents. Applies and begins to suggest improvements to credentialing and privileging processes. Evaluates standard and nonstandard practitioner sanctions. Participates in surveys and audits of credentialing entities. Supports cost-effective due process. Conducts audits of data between different departments, with regular review. Assists in the facilitation of and orientation and training to newly appointed physician leaders. Develops standard and nonstandard informational documents. Maintains working relationships with key stakeholders. Maintains awareness of policies and starts to provide standard and nonstandard consul...