Remote, Nationwide - Seeking Credentialing Compliance Analyst
Everybody Has A Role To Play In Transforming Healthcare
At Vituity you are part of a larger team that is driven by our purpose to improve lives. We are dedicated to transforming healthcare through our culture by working together to tackle healthcare's most pressing challenges from the inside.
Join the Vituity Team. At Vituity we've cultivated an environment where passion thrives, and success comes through shared purpose. We were founded in a culture that values team accomplishments more than individual achievements, an approach we call "culture of brilliance." Together, we leverage our strengths and experiences to make a positive impact in our local communities. We foster this through shared goals and helping our colleagues succeed, and we also understand the importance of recognition, taking the time to show appreciation and gratitude for a job well done.
Vituity Locations: Vituity has opportunities at 475 sites across the country, serving 9 million patients a year. With Vituity, if you ever need to move, you can take your job with you.
The Opportunity
- Work with credentialing leadership to maintain credentialing accreditation status.
- Monitor Vituity online credentialing application and policy manual to ensure alignment with state and national standards.
- Research state and federal regulations in support of Vituity growth strategies and process improvement initiatives.
- Establish and maintain delegated credentialing agreements with contracted managed care plans, hospitals, and other parties.
- Work with credentialing leadership to support audit functions, develop standardized procedures, and document department procedural changes.
- Identify and report potential issues/concerns to credentialing leadership. Generate and present ideas to improve departmental protocols.
- Identify and work with credentialing leadership to report practitioner red flags to delegated entities in accordance with delegation agreements.
- Participate in quality improvement while maintaining confidentiality of protected and sensitive information.
- Coordinate paperwork and transfer of information with provider/employee and internal/external departments.
- Collaborate with various internal/external stakeholders on organizational needs and process improvements.
- Work with credentialing leadership to support the Credentials and Partnership Affairs Committee (CPAC), including (but not limited to) Claims & Risk Advisory Committee (CRAC) support and Partner Advancement
- Identify and initiate discussions regarding problem areas and opportunities for improvement.
- Attend pertinent internal and external meetings, engage in teamwork functions supporting and cooperating with team members according to best professional judgment.
- As needed, provide support with Vituity onboarding efforts including online application set-up, importing data into the Salesforce credentialing database and other systems, requesting malpractice insurance, running databank and license checks, and tracking providers until all required credentialing, HR and payroll items for hire are completed.
- As needed, provide support with Vituity credentialing efforts including obtaining essential credentialing information and documents, verifying all credentials under Vituity policies and procedures, reviewing all information for completeness, and identifying and escalating red flag items for action as necessary to department manager.
- Support department projects and perform other duties as assigned.
Required Experience And Competencies
- 2 years of related credentialing work experience required.
- Associates degree in related field or combination of education and experience required.
- Certified Provider Credentialing Specialist (CPCS) certification preferred.
- Knowledge of the Vituity policies and procedures relating to credentialing and onboarding
- Knowledge of state and national credentialing standards
- Demonstrate high level of critical thinking and ability to prioritize tasks and work independently
- Ability to express ideas and convey information effectively in verbal and written communications.
- Ability to establish and maintain effective working relationships as required by the duties of the position.
- Ability to use office equipment and automated systems/applications/software at an acceptable level of proficiency.
- Ability to read, understand and communicate in English sufficient to perform the duties of the position.
- Intermediate to advanced MS Excel, Word, PowerPoint, and Outlook skills
- Strong attention to detail, time management, and organization skills.
The Community
Even when you are working remotely, you are an important part of the Vituity Community. We offer plenty of opportunities to engage with other Vitans through a variety of virtual meet-and-greets, events and seminars.
- Monthly wellness events and programs such as yoga, HIIT classes, and more
- Trainings to help support and advance your professional growth
- Team building activities such as virtual scavenger hunts and holiday celebrations
- Flexible work hours
- Opportunities to attend Vituity community events including LGBTQ+ History, Dia de los Muertos Celebration, Money Management/Money Relationship, and more
Benefits & Beyond*
Vituity cares about the whole you. With our comprehensive compensation and benefits package, we are mindful of what matters most, and support your needs of today and your plans for the future.
- Superior health plan options
- Dental, Vision, HSA/FSA, Life and AD&D coverage, and more
- Top Tier 401(k) retirement savings plans that offers a $1.20 match for every dollar up to 6%
- Outstanding Paid Time Off: 3-4 weeks' vacation, Paid holidays, Sabbatical
- Student Loan Refinancing Discounts
- Professional and Career Development Program
- EAP, travel assistance, and identify theft included
- Wellness program
- Vituity community initiatives including LGBTQ+ History, Dia de los Muertos Celebration, Money Management/Money Relationship, and more
- Purpose-driven culture focused on improving the lives of our patients, communities, and employees
We are excited to share the base salary range for this position is $24.28 - $30.36, exclusive of fringe benefits or potential bonuses. This position is also eligible to participate in our annual corporate Success Sharing bonus program, which is based on the company's annual performance. If you are hired at Vituity, your final base salary compensation will be determined based on factors such as skills, education, and/or experience. We believe in the importance of pay equity and consider internal equity of our current team members as a part of any final offer. Please speak with a recruiter for more details.
We are unified around the common purpose of transforming healthcare to improve lives and we believe everyone has a role to play in that. When we work together across sites and specialties as an integrated healthcare team, we exceed the expectations of our patients and the hospitals and clinics we work in. If you are looking to make a difference, from clinical to corporate, Vituity is the place to do it. Come grow with us.
Vituity appreciates differences; our dedication to diversity, equity and inclusion is at the heart of our organization. Vituity does not discriminate against any person on the basis of race, creed, color, religion, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information (including family medical history), veteran status, marital status, pregnancy or related condition, or any other basis protected by law. Vituity is committed to complying with all applicable national, state and local laws pertaining to nondiscrimination and equal opportunity.
- Benefits for part-time and per diem vary. Please speak to a recruiter for more information.
Applicants only. No agencies please. 
