Credentialing Data Supp Analyst

Best Doctors Quincy , MA 02170

Posted 3 months ago

Mission to Our Employees:

A mission-driven organization, Teladoc Health, Inc. is successfully transforming how people access and experience healthcare around the world. Through market-leading innovation in virtual care, our award-winning clinical solutions are helping millions of people resolve their healthcare needs with confidence. Today we have more than 2,000 employees, working together to deliver care in 130 countries and in more than 30 languages, to more than 10,000 clients including world recognized leaders.

We are committed to providing our Employees with a dynamic and collaborative work environment; there is equal opportunity for learning and personal growth. Creativity and innovation are encouraged. Above all, our mission-oriented employees will be treated with the same attention, respect, values and care that we provide to our clients and members.

What we are looking for:

The Credentialing Data Support Analyst will take the lead for working cross functionally in the organization to determine contractual requirements for credentialing data reporting for internal and external stakeholders. This role requires a significant level of customer management to ensure collaboration, planning and execution of agreed upon deliverables. The Credentialing Data Support Analyst will take the lead in discussions with the legal team, sales team and others to determine the best approach and methods to deliver data in a timely and appropriate fashion.

What You Will Do:

  • Coordinate and collaborate with client account executives to align with account management strategy for outbound data requests. Ensure reports disclose only requested information and exclude unnecessary data to minimize exposure and risk.

  • Collaborate with interdepartmental leaders to streamline point-of-entry data collection to minimize duplication of work and ensure capture of essential information.

  • Respond to internal and external data requests with the utmost professionalism and timeliness and focus on high-level of customer service.

  • Adhere to protected health information, HIPAA and other internal and external compliance requirements and procedures.

  • Participate in client facing audits focused on delegated credentialing requirements

  • Review contracts and ensure department procedures are adhering to obligations

  • Work closely with client executives to understand client needs and determine processes and policies to administer

  • Work with legal team to determine best approaches to operational situations

  • Collaborate with interdepartmental leaders to streamline point of entry data collection to minimize duplication of work and ensure essential information is captured

  • Determine best reporting standards for clients by meeting regularly with internal and external parties relative to the business requirements

  • Develop, prepare and deliver the reports in conjunction with agreed upon time frames and delivery methods

  • Ensure outbound reports are branded, appropriate, professional, and user-friendly.

  • Train and onboard new specialists to input data into reports

  • Represent credentialing and recruiting teams in forums with clients, client management and legal to ensure all policies and procedure remain in line with operational capabilities

  • Facilitate discussions with external entities related to contractual requirements to support business needs, agree upon deadlines and appropriate deliverable

  • Other duties as needed related to credentialing, recruiting and provider operations

  • Some light travel within the USA may be required

Requirements:

  • Strong communication and influence skills

  • Working knowledge of NCQA and/or other regulatory requirements.

  • Relevant physician credentialing experience required.

  • Relevant audit experience preferred.

  • AAS or AS in Medical Administration or related field, or equivalent educational/work experience required.

  • 2 years of medical administrative or equivalent office healthcare setting experience required.

  • Demonstrated ability to provide professional, high-level customer service.

  • Ability to critically troubleshoot, prioritize, and problem-solve to professionally respond to ad hoc requests and unexpected circumstances, demands, and challenges.

  • Strong time-management skills with ability to meet demanding and recurring deadlines.

  • Intermediate/Advanced software skills with proficiency in Microsoft Excel.

Compensation & Company Benefits (Here is some of the good stuff):

  • Very competitive salary & equity compensation

  • Excellent health, dental, vision coverage

  • 401k benefits with 4% employer matching contribution

  • Awesome people to work with

  • Becoming a part of a movement in telemedicine and building something that matters

For a more detailed look at our company and values, visit our website at https://teladochealth.com/en/about/

At Teladoc Health we thrive on difference and individuality. Teladoc Health is proud to be an equal opportunity workplace and is an affirmative action employer. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or Veteran status.


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Credentialing Data Supp Analyst

Best Doctors