- Partner with the Credentialing Manager and third-party service providers to ensure all new and existing providers possess the required credentials and licenses to operate compliantly and safely on the H&H platform, that these are documented accurately, and work with providers to ensure that these credentials are kept up to date.
- Manage, resolve, or escalate credentialing related support issues through ZenDesk. Identifying common themes and developing processes to improve the provider experience.
- Own the provider offboarding process.
- Coordinate with external credentialing verification organization (CVO) to both process applications in a timely manner and deepen partnership by providing regular feedback to support our needs.
- Audit and verify compliance with NCQA and state-level requirements for providers to practice.
- Own agreement workflows with all contracted providers ensuring new applications/licenses are recorded accurately in the credentialing database.
- Continuously monitor credentialing related data integrity between multiple provider data management systems. Identifying potential red flags or quality concerns during the credentialing process.
- Perform employment verifications and send out certificates of insurance for current providers.
- Work cross-functionally with the Provider Success team to streamline and support credentialing processes related to provider onboarding.
- Work externally with third-party service providers to analyze, iterate, and document processes, providing recommendations for improving efficiencies.
- Work with the Credentialing Manager to analyze, recommend improvements, and build out the credentialing program.
- Bachelors Degree preferred and a minimum of two (2) years of credentialing experience with working knowledge of credentialing accreditation regulations, policies and procedures, and NCQA standards.
- Must demonstrate exceptional communication skills - both written and verbal, listening effectively and asking questions when clarification is needed.
- Must be a self-starter with strong attention to detail
- Must be able to plan and prioritize to meet deadlines; with the ability to re-prioritize as needed.
- Excellent computer skills including Excel, Word, Google Suite, and Internet use.
- Competitive salary & equity compensation for full-time roles
- Unlimited PTO, company holidays, and quarterly mental health days
- Comprehensive health benefits including medical, dental & vision, and parental leave
- Employee Stock Purchase Program (ESPP)
- Employee discounts on hims & hers & Apostrophe online products
- 401k benefits with employer matching contribution
- Offsite team retreats
-
Credentialing Coordinator
2 weeks ago
Altais Oakland, United States**About Our Company** · At Altais, we're looking for bold and curious clinicians and innovators who share our passion for enabling better health care experiences and revolutionizing the healthcare system for physicians, advanced care providers, patients, and the clinical communit ...
-
Credentialing Coordinator
3 weeks ago
Ingenovis Health West Valley City, United StatesThe Credentialing Coordinator gathers and completes provider credentialing files as well as works directly with providers and healthcare facilities nationwide to obtain hospital privileges. · Essential Duties and Responsibilities: · Maintain excellent relationships with healthc ...
-
Credentialing Coordinator
2 weeks ago
hims & hers San Francisco, United StatesAbout the Role: · The Credentialing Coordinator will perform all aspects of credentialing of healthcare professionals. This includes onboarding new providers, assisting in resolution of issues facing current providers, and ensuring all providers have current certification and lic ...
-
Credentialing Coordinator Iii
2 days ago
Sutter Health Oakland, United States**Organization**: · ABSMC-Summit Campus · **Position Overview**: · Responsible for completion of credentialing functions. Ensures program integrity and compliance with standards, federal/state requirements, and health plan credentialing requirements. Maintains relationships with ...
-
Credentialing Coordinator
5 days ago
Altais, Inc. Oakland, United StatesAbout Our Company · At Altais, we're looking for bold and curious clinicians and innovators who share our passion for enabling better health care experiences and revolutionizing the healthcare system for physicians, advanced care providers, patients, and the clinical community. ...
-
Credentialing Coordinator
1 week ago
Altais Oakland, United StatesJob Description · Job DescriptionAbout Our Company · At Altais, we're looking for bold and curious clinicians and innovators who share our passion for enabling better health care experiences and revolutionizing the healthcare system for physicians, advanced care providers, patien ...
-
Credentialing Coordinator III
10 hours ago
Sutter Health Oakland, United StatesResponsible for completion of credentialing functions. Ensures program integrity and compliance with standards, federal/state requirements, and health plan credentialing requirements. Maintains relationships with health plan auditors, communicates an Credentialing, Coordinator, H ...
-
Credentialing Coordinator III
23 hours ago
Sutter Health Oakland, United StatesOrganization: · ABSMC-Summit Campus · Position Overview: · Responsible for completion of credentialing functions. Ensures program integrity and compliance with standards, federal/state requirements, and health plan credentialing requirements. Maintains relationships with health p ...
-
Nurse Practitioner II
3 weeks ago
Kaiser San Francisco, United States Full timeJob Summary: · The Nurse Practitioner (NP) is responsible for the assessment of selected patients in the designated service. The NP performs physical examinations, confers with patients in person and by phone/electronically, collaborates with others in the department to assure s ...
-
Construction Project Manager
2 weeks ago
Consor Engineers San Francisco, United StatesThe Opportunity: · Salary Range: $170,000 to $200,000 · Essential Duties & Responsibilities: · As the Project Manager you will be responsible for: · - Growing and enhancing our capabilities to support the administration of complex construction projects, primarily in the construct ...
-
Director of Talent and HR
3 weeks ago
Envision Education San Francisco Bay Area, United StatesEnvision Schools seeks an experienced **Director of Talent & HR** to serve as a key leader in shaping the talent strategy and HR operations of our small public charter school network. · **Who We Are** · Our mission is to transform the lives of students - especially those who will ...
-
Case Manager
3 weeks ago
Health Right 360 San Francisco, United StatesHealthRIGHT 360 gives hope, builds health, and changes lives for people in need by providing comprehensive, integrated, compassionate care that includes primary medical care, mental health services, and substance use disorder treatment. Our Outpatient services specialize in treat ...
-
Registered Dietitian Nutritionist
1 week ago
Sarah Lynn Nutrition San Francisco, United StatesBackground: · Sarah Lynn Nutrition is onboarding exceptional Private Practice Registered Dietitians. At Sarah Lynn Nutrition, we support both full-time and part-time providers. We are looking for dietitians who care deeply about helping patients and are eager about joining a fast ...
-
Associate Director, Enrollment, Non-jd Programs
3 weeks ago
University of San Francisco San Francisco, United States**Associate Director, Enrollment, Non-JD Programs** · **University of San Francisco** · **R0009144** · **USF Hilltop Campus** · **Job Title**: · Associate Director, Enrollment, Non-JD Programs · **Job Summary**: · The Associate Director, Enrollment, Non-JD Programs for the LLM an ...
-
Nurse Practitioner, Per Diem
2 weeks ago
University of California San Francisco San Francisco, United StatesThe Division of Geriatrics seeks a Nurse Practitioner to support the UCSF 360 Wellness Center consult service. UCSF 360 Wellness Center was created in 1984 to offer a range of high-quality services in a single location for people living with HIV/AIDS, and this position requires o ...
-
Art Teacher
2 weeks ago
The Mission Preparatory School San Francisco, United StatesMission Preparatory School (Mission Prep) is a single-site charter school located in the Mission District of San Francisco that serves nearly 500 students in grades TK-8, centered on a core belief that all children can achieve at the highest levels regardless of background or cir ...
-
Quality Nurse Consultant
3 weeks ago
Kaiser Permanente San Francisco, United States**Job Summary**: · Coordinates quality, accreditation, regulatory and licensing (AR&L), patient safety and risk management activities for the medical center. Provides clinical, educational, consulting, and coordinating support to assigned areas. Uses nurses licensure as a substan ...
-
Manager, Behavioral Health
3 weeks ago
San Francisco Health Plan San Francisco, United StatesYou can improve the wellbeing of San Francisco's most vulnerable population. · Reporting to the Health Services Officer, the Manager, Behavioral Health manages the administrative aspects of all delegated and carved out behavioral health and substance use disorder programs for San ...
-
Major Gifts Officer
2 weeks ago
USO San Francisco Bay Area, United States**Why join our team?** · The USO mission to strengthen the well-being of the people serving in America's military and their families, combined with an exceptional global team, make this an inspiring place to work. We offer generous paid time off, including volunteer days and mili ...
-
Electrical Designer
2 weeks ago
Stantec San Francisco, United StatesElectrical Designer N8 ) · **Description** · Stantec Buildings is on a mission to become the world's leading integrated design practice. Our architects, engineers, interior designers, sustainability specialists, and technologists are passionate about the power of design. We take ...
Credentialing Coordinator - San Francisco, United States - hims & hers
Description
About the Role:
The Credentialing Coordinator will perform all aspects of credentialing of healthcare professionals. This includes onboarding new providers, assisting in resolution of issues facing current providers, and ensuring all providers have current certification and licensure. The Credentialing Coordinator will report to the Credentialing Manager, and collaborate with the Telemedicine Team.
