SPECIALIST CREDENTIALING PCHP
Centra Health, Inc.

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Partnering with you to live your best life. At Centra, we want to listen carefully and get to know you well. We want to understand your hopes, goals and dreams. We want to do our part so you can be your very best - as you define it. This remains true whether you are a patient, a Centra Caregiver, or a member of the communities we serve. As a candidate considering employment with our organization, we want you to understand that it is our mission to help partner with you throughout each stage of your career.
COVID Vaccination Requirement

Consistent with long-standing practices requiring health care workers to be vaccinated against serious infectious diseases for the safety of patients and staff, Centra will require COVID-19 vaccinations for all new and current employees and those who work in Centra facilities as a condition of their employment. If hired to work at Centra, you will be required to provide proof of vaccination or be willing to receive the vaccination. Medical and religions exemptions may be requested.
Job Description

Overview

Credentialing Specialist - Piedmont Community Health Plan

Job Description: Verification, processing, and monitoring of credentialing and re-credentialing of Piedmont providers based on regulatory and accreditation standards and Piedmont policies and procedures.

Qualifications/Education/Licensure: Bachelor's degree or equivalent experience. Function independently with minimal direct supervision. Work collaboratively with others. Strong organizational, verbal, and written communication skills, with outstanding attention to detail. Organize credentialing processes and understand and apply credentialing criteria consistently across the provider network. Effectively utilize computer and appropriate software and interact as needed with IT vendors and internal staff. Maintain confidentiality of peer review information. Proficiency with Word, Excel, & Access. Proficiency with Medical Terminology. Knowledge of Federal and State regulatory requirements and accreditation standards, including CMS and NCQA or URAC.

Our care givers at Centra are the most valuable asset we have and it is our mission and commitment to build and sustain a diverse and inclusive environment.

When recruiting and retaining talent at Centra, our hiring needs are based on matching a candidates job qualifications with our job requirements and department needs without regard to race, color, age, religion or belief, national origin, disability status, protected veteran status, gender identity or expression, sexual orientation or any other characteristic protected by the laws or regulations in the locations where we operate. Centra is an Equal Opportunity Employer and prohibits discrimination and harassment of any kind.

Be yourself. Be a partner with Centra.

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