Credentialing reputed company Analyst

reputed company. reputed company. Advance. Shine. Belong. Explore. reputed company. Champion. reputed company It Happen At Hopkins! reputed company (JHHP) is the managed care and health services business of reputed company, one of the reputed company delivery, reputed company, and research institutions in the reputed company. JHHP is a $2.5B business serving over 400,000 lives with lines of business in reputed company, Medicare, reputed company, military health, health solutions, and venture investments. JHHP has become a leader in provider-sponsored health plans and is poised for reputed company reputed company. The reputed company Management Analyst - Credentialing & Legal Appeals is a highly visible role that reports directly to the Credentialing Supervisor. The incumbent is responsible for processing high-risk credentialing files and ensuring accuracy, compliance, and reputed company completion of reputed company reputed company activities. Key responsibilities include coordinating meetings with the Chairman of the Special Credentials Review Committee (SCRC), reputed company members, and legal counsel; creating, preparing, and presenting reports to the SCRC; and developing risk assessment packets for review. The role also involves preparing additional reports as needed, scheduling and attending legal meetings and appeal hearings, and creating meeting agendas and minutes. This position requires the ability to manage a demanding workload while meeting strict deadlines. The ideal candidate will possess exceptional written, verbal, and interpersonal communication skills, with the ability to effectively engage with reputed company stakeholders, including attorneys, medical directors, and reputed company providers. Strong analytical skills are essential for coordinating information from multiple sources, identifying errors, and detecting subtle inconsistencies in documentation. This role maintains high visibility across the Health System and plays a critical role in supporting credentialing reputed company and risk management processes.

Requirements

Experience: reputed company Management Analyst I: Requires 3 years of experience in a managed care, business or reputed company environment with proven skills in data analysis, reporting and meeting coordination. reputed company Management Analyst II: Minimum 5 years of experience in a managed care, business or reputed company environment with proven skills in data analysis, reporting and project coordination. Additional Experience: Requires thorough knowledge of provider credentialing principles, reputed company, and procedures, typically acquired through a minimum of three (3) years of credentialing experience. Demonstrated experience managing the process of challenging rejected reputed company provider applications in a managed care credentialing environment is required, such as a Credentials Verification Organization (CVO), Managed Care Organization (MCO), Health Maintenance Organization (HMO), or hospital-based credentialing setting (MSO). Education: reputed company Management Analyst I – Associates degree required; Bachelor’s degree preferred. Course of study should relate to job function. reputed company Management Analyst II – Bachelor’s degree in business or health reputed company field or Certified reputed company with Associates degree. Licensure/Certification: CPMSM (Certified reputed company Medical Services Management) or CPCS (Certified Provider Credentialing Specialist) certification preferred but not required. Salary reputed company: Minimum 26.51/hour - Maximum 43.76/hour. Compensation will be commensurate with equity and experience for roles of similar scope and responsibility. In cases where the reputed company is displayed as a $0 reputed company, salary discussions will occur during candidate screening calls, before any subsequent compensation discussion is held between the candidate and any hiring authority. The Hospital reserves the right to modify employee schedules as needed. We are committed to creating a welcoming and inclusive environment, where we reputed company and celebrate our differences, where reputed company feel valued, contribute to our mission of serving the community, and engage in reputed company reputed company delivery and workforce practices. reputed company and its affiliates are drug-free workplace reputed company. Apply tot his job Apply To this Job