About this opportunity
The Ohio State University Wexner Medical Center lists this Credentialing Consultant opportunity in columbus, Ohio. Review the employer’s description below for duties, qualifications and application requirements.
Job description
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Position Summary
The Delegated Credentialing Consultant leads, directs, monitors, and provides oversight and leadership to ensure operating efficiencies of the corporate credentialing services of the OSU hospitals, under the supervision of the Associate Director of Corporate Credentialing and/or Administrative Director. This position is responsible for management of operational activities related to the various functions that are required of the Corporate Credentialing Office and the CVO (Credentials Verification Organization) and for delegated credentialing requirements. This position is responsible for one or more of the specialty areas below:
Management of non-physician provider credentialing and privileging
Management of non-physician FPPE and OPPE processes
Management of delegated credentialing functions to include contracting, ongoing communication/liaison with MCO and OSUWMC Managed Care Contracting; provision of flat files in accordance with MCO contracts
Credentialing database management
Management of auditing of credentialing/recredentialing files in accordance with established guidelines, TJC standards, and NCQA requirements
Management of data entry/auditing of privileges into credentialing database for interface to CPD
Management of ongoing verification of licenses, DEA, board certifications, other licensing/regulatory requirements as mandated by law, regulation, accreditation standard, policy, or established standard
Management of tracking/auditing of graduate medical education trainee certificates; liaison with OSMB
Management of CAQH database on behalf of OSUWMC and tracking of new providers and assignment of OSUWMC Identification
Management of physician licensure application process; liaison with OSMB, FCVS, and FSMB
Required Qualifications
Bachelor's Level Degree or equivalent combination of education and experience. Bachelor degree in Medical Staff Sciences or equivalent courses, training and experience required. Strong supervisory, management, communication and writing skills. Minimum of five years of experience in hospital setting, preferably in the Medical Staff Services office. Intermediate computer knowledge. Familiarity with medical staff management software desired. Must be able to handle highly confidential information. Strong interpersonal and motivational skills. Certification as a Provider Credentialing Specialist preferred (CPCS) or Medical Staff Coordinator (CMSC). Masters degree preferred.
Additional Education Desired
Master's Degree or equivalent combination of education and experience
FUNCTION: Health Care Administration
SUB FUNCTION: Delegated Credentialing
CAREER BAND: Individual Contributor - Specialized
CAREER LEVEL: 4
Screen reader users may encounter difficulty with the online application. For assistance with applying, please contact If you have questions while submitting an application, please review these frequently asked questions.
Thank you for your interest in working at Ohio State.
Final candidates are subject to successful completion of a background check. A drug screen or physical may be required during the post offer process.
The university is an equal opportunity employer, including veterans and disability.
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Worksite address
columbus, OH, 43224, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.