Credentialing Analyst I
About the role
BJC is looking to hire a Full Time Credentialing Analyst. BJC HealthCare is one of the largest nonprofit health care organizations in the United States, delivering services to residents primarily in the greater St. Louis, southern Illinois and southeast Missouri regions. With net revenues of $6.3 billion and more than 30,000 employees, BJC serves patients and their families in urban, suburban and rural communities through its 14 hospitals and multiple community health locations. Services include inpatient and outpatient care, primary care, community health and wellness, workplace health, home health, community mental health, rehabilitation, long-term care and hospice. BJC is the largest provider of charity care, unreimbursed care and community benefits in the state of Missouri. BJC and its hospitals and health service organizations provide $785.9 million annually in community benefit. That includes $410.6 million in charity care and other financial assistance to patients to ensure medical care regardless of their ability to pay. In addition, BJC provides additional community benefits through commitments to research, emergency preparedness, regional health care safety net services, health literacy, community outreach and community health programs and regional economic development. BJC’s patients have access to the latest advances in medical science and technology through a formal affiliation between Barnes-Jewish Hospital and St. Louis Children’s Hospital with the renowned Washington University School of Medicine, which consistently ranks among the top medical schools in the country. The Credentialing Verification Organization (CVO) is part of BJC HealthCare's Managed Care department. The CVO provides effective systems interface with all BJC Medical Staff Offices and establishes collaborative working relationships to ensure JCAHO, NCQA, and URAC compliance issues as they relate to physician credentialing. In addition, this team manages and provides oversight for cross credentialing efforts among BJC member organizations.
Responsibilities
- Verifies that credentials of medical staff, mid-level, and allied health professionals are in compliance with regulatory bodies, federal, and state agencies.
- Maintains accurate data in credential database and permanent credential files.
- Collaborates with medical staff and leadership to ensure credentialing and processing standards are being met.
- Facilitates problem solving and operating system boards while participating in sub-committees created for ongoing process improvement.