Provider credentialing and re-credentialing processes
Maintaining accurate provider data in databases
Tracking license and certification expirations
Driscoll Children's Hospital is seeking a Managed Care Analyst I to oversee the credentialing and enrollment processes for hospital providers. The ideal candidate will have experience in credentialing, strong organizational skills, and the ability to work collaboratively within a fast-paced healthcare environment
Job Summary
The role is responsible for all aspects of the credentialing, re-credentialing, and enrollment process for hospital and hospital-employed providers.
Employees are expected to maintain up-to-date data in credentialing databases and ensure timely renewal of licenses and certifications.
The position requires assisting with establishing administrative and financial opportunities related to contract negotiation and implementation for managed care areas.
Matching Summary
Match Score: 75
Driscoll Children's Hospital is seeking a Managed Care Analyst I to oversee the credentialing and enrollment processes for hospital providers. The ideal candidate will have experience in credentialing, strong organizational skills, and the ability to work collaboratively within a fast-paced healthcare environment.
Skills & Requirements
Must-have
provider credentialing and re-credentialing processes
maintaining accurate provider data in databases
tracking license and certification expirations
knowledge of Medicare and Medicaid enrollment rules
managing payer credentialing requirements
Nice-to-have
experience with EPIC electronic health records
ability to work independently in fast-paced environment
strong communication skills with senior leaders
collaborative team-oriented mindset
Key Requirements
Bachelor's degree in Business Administration or Health Care Administration preferred
3-5 years of previous credentialing/enrollment experience
Substantial knowledge of payer credentialing processes
High level of skills in Microsoft Office and database applications