Credentialing Operations Analyst II

Introduction

Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a Credentialing Operations Analyst II with Parallon you can be a part of an organization that is devoted to giving back!

Benefits

Parallon, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.

• Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.

• Free counseling services and resources for emotional, physical and financial wellbeing

• 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)

• Employee Stock Purchase Plan with 10% off HCA Healthcare stock

• Family support through fertility and family building benefits with Progyny and adoption assistance.

• Referral services for child, elder and pet care, home and auto repair, event planning and more

• Consumer discounts through Abenity and Consumer Discounts

• Retirement readiness, rollover assistance services and preferred banking partnerships

• Education assistance (tuition, student loan, certification support, dependent scholarships)

• Colleague recognition program

• Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)

• Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

Would you like to unlock your potential with a leading healthcare provider dedicated to the growth and development of our colleagues? Join the Parallon family! We will give you the tools and resources you need to succeed in our organization. We are looking for an enthusiastic Credentialing Operations Analyst II to help us reach our goals. Unlock your potential!

Job Summary and Qualifications

The Credentialing Operations Analyst II supports operational workflow, credentialing stakeholders across the enterprise by designing, developing and implementing critical reports related to credentialed practitioners. This position will assist the Manager of Credentialing with developing and maintaining reporting tools necessary to support operations, including the development of tools to effectively measure performance and other organizational needs. The position will also support key partners and stakeholders, including Parallon executives, Credentialing Processing Centers (CPC), Clinical Operations Group (COG) executives, Medical Staff Professionals (MSPs), as well as Parallon IT&S, to develop, deploy, and maintain standardized data and reporting tools. The scope of support includes acute care hospitals, Ambulatory Surgery Centers (ASCs), Urgent Care Clinics (UCCs), and payor enrollment and delegated credentialing.

What you will do in this role:

• Understand operational processes in order to identify and escalate issues to management.

• Support and manage strategic goals when operational changes are needed.

• Monitor and notify the field of operational impact when EDW disruptions occur in order to prevent or minimize workflow delays.

• Coordinate and partner with IT&S to build bolt on systems and new business intelligence tools to improve operations.

• Partners with stakeholders to support various company system integration and alignment projects (e.g., Cactus and Meditech integration, Provider Master File utility).

• Designs, develops and implements ad hoc and standard reports and/or operational reporting applications surrounding the practitioners credentialing processes.

• Actively participate in brainstorming and think tank sessions to meet the needs of strategic imperatives, operational revisions and other strategies as needed.

• Respond to and work tickets submitted to the Credentialing Service Central work queue by clients (HCA, ASC, PSG and UCC Teams).

• Build and maintain operational dashboards to support and monitor various aspects of credentialing workflow processes.

• Develops and executes reports and applications using appropriate tool set and data mining tools (Cactus, Business

• Objects, Crystal Reporting, SQL, Power BI, Power BI Report Builder, Microsoft Office, and Power platform: Power Apps and Power Automate) to assist customers with data requests.

• Manage client questions regarding dashboards and other operational systems.

• Plays a critical role in our future growth opportunities by ensuring reports are accurate and distributed timely to meet stakeholder needs.

• Develops reports that outline key data metrics supporting the practitioners credentialing process for HCA, Parallon and other stakeholders.

• Integrates strong understanding of Credentialing Processing Center (CPC) operations and Cactus data into the development and maintenance of reports.

• Coordinates development of the more complex and key reports with Senior Analyst.

• Provides complex ad hoc operational reports and analyses as requested by management teams.

• Escalates issues and concerns to the Manager of Credentialing Reporting and the Director of Operations -Credentialing Shared Services.

• Assists Manager with ongoing reporting standardization efforts.

• Maintains compliance with HCA policy and procedures, Federal and State regulatory and accrediting agencies as required.

What qualifications you will need:

• Bachelor's Degree preferred.

• Minimum 3-5 years relevant experience.

• Credentialing/CPC experience preferred.

• HCA-based system experience preferred.

• SQL Development Preferred.

Parallon provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers and their communities.

HCA Healthcare has been recognized as one of the World's Most Ethical Companies by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

"There is so much good to do in the world and so many different ways to do it."- Dr. Thomas Frist, Sr.

HCA Healthcare Co-Founder

Be a part of an organization that invests in you! We are reviewing applications for our Credentialing Operations Analyst II opening. Qualified candidates will be contacted for interviews. Submit your application and help us raise the bar in patient care!

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.