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Coordinates and administers day-to-day support of the credentialing and privileging process for West Virginia University Hospitals and West Virginia United Health Systems. The process includes, but is not limited to, new applications, provisional reviews, and biennial reappointments for members of the Medical Staff, Licensed Independent Practitioners and Advanced Practice Professionals as defined by the Hospital's Medical Staff Bylaws.

MINIMUM QUALIFICATIONS: EDUCATION, EXPERIENCE, CERTIFICATION, AND/OR LICENSURE: 1. Bachelor's degree in business or a health-related field AND one (1) year of experience in an administrative setting. OR Associate Degree in business or a health-related field AND three (3) years of experience in an administrative setting. OR High School Diploma or equivalent AND five (5) years of experience in an administrative setting.

PREFERRED QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: 1. Bachelor's Degree in business or a health-related field. 2. Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Service Management (CPMSM) OR obtained within twelve (12) months of hire. EXPERIENCE: 1. Three (3) years' experience in a medical staff credentialing role, preferably as a Medical Staff Coordinator or equivalent. 2. Experience in a hospital or medical facility.

CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned.

1. Coordinates the timely credentialing, recredentialing and privileging of new and current Physicians, Dentists, Licensed Independent Practitioners and Advanced Practice Professionals following Joint Commission and National Committee for Quality Assurance (NCQA) standards.
2. Maintain working knowledge of Joint Commission, NCQA, State Medical Boards and Centers for Medicare & Medicaid Services (CMS) standards.
3. Monitors and updates the credentialing process, including applications for appointment, reappointment, clinical privilege forms and policies to ensure compliance with Joint Commission, NCQA and CMS standards.
4. Performs Primary Source Verifications of practitioner information in compliance with Joint Commission, NCQA and CMS standards.
5. Enters, maintains and updates practitioner information into the electronic credentialing software in an accurate and timely manner.
6. Maintains a current knowledge of the Medical Staff Bylaws, Rules &... For full info follow application link.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities. Please view Equal Employment Opportunity Posters provided by OFCCP here. The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)