Credentialing Consultant
Core
Leads and oversees operational activities for corporate credentialing services, managing non-physician provider credentialing, privileging, and verification processes for OSU hospitals.
Role type
Senior IC credentialing consultant (non-physician focus)
Builds
Operational efficiency of credentialing services and compliance with regulatory/accreditation standards
Domain
Healthcare administration / Hospital credentialing
Deliverable
production ML models | product features | dashboards & analysis | client delivery | infrastructure | physical/clinical work
Required skills
Non-physician provider credentialing management, privileging management, FPPE/OPPE process management, delegated credentialing coordination, credentialing database management, auditing of credentialing files, license/DEA/board certification verification, GME trainee certificate tracking, CAQH database management, physician licensure application processing
Preferred skills
Provider Credentialing Specialist (CPCS) certification, Medical Staff Coordinator (CMSC) certification, Master's degree in Medical Staff Sciences
Technologies
Medical staff management software, credentialing databases, CPD interface
Responsibilities
Manage non-physician provider credentialing and privileging; oversee FPPE and OPPE processes; coordinate delegated credentialing functions including MCO contracting; manage credentialing database and auditing; verify licenses, DEA, and board certifications; track GME trainee certificates; manage CAQH database; process physician licensure applications
Seniority
Senior, hands-on IC