Credentialing Compliance Analyst - Remote - Nationwide

Remote, Nationwide - Seeking Credentialing Compliance Analyst

Everybody Has A Role To Play In Transforming Healthcare

At Vituity you are part of a larger team that is driven by our purpose to improve lives.

We are dedicated to transforming healthcare through our culture by working together to tackle healthcare's most pressing challenges from the inside.

Join the Vituity Team.

At Vituity we've cultivated an environment where passion thrives, and success comes through shared purpose.

We were founded in a culture that values team accomplishments more than individual achievements, an approach we call "culture of brilliance." Together, we leverage our strengths and experiences to make a positive impact in our local communities.

We foster this through shared goals and helping our colleagues succeed, and we also understand the importance of recognition, taking the time to show appreciation and gratitude for a job well done.

Vituity Locations: Vituity has opportunities at 475 sites across the country, serving 9 million patients a year.

With Vituity, if you ever need to move, you can take your job with you.

The Opportunity


* Work with credentialing leadership to maintain credentialing accreditation status.


* Monitor Vituity online credentialing application and policy manual to ensure alignment with state and national standards.


* Research state and federal regulations in support of Vituity growth strategies and process improvement initiatives.


* Establish and maintain delegated credentialing agreements with contracted managed care plans, hospitals, and other parties.


* Work with credentialing leadership to support audit functions, develop standardized procedures, and document department procedural changes.


* Identify and report potential issues/concerns to credentialing leadership.

Generate and present ideas to improve departmental protocols.


* Identify and work with credentialing leadership to report practitioner red flags to delegated entities in accordance with delegation agreements.


* Participate in quality improvement while maintaining confidentiality of protected and sensitive information.


* Coordinate paperwork and transfer of information with provider/employee and internal/external departments.


* Collaborate with various internal/external stakeholders on organizational needs and process improvements.


* Work with credentialing leadership to support the Credentials and Partnership Affairs Committee (CPAC), including (but not limited to) Claims & Risk Advisory Committee (CRAC) support and Partner Advancement


* Identify and initiate discussions regarding problem areas and opportunities for improvement.


* Attend pertinent internal and external meetings, engage in teamwork functions supporting and cooperating with team members according to best professional judgment.


* As needed, provide support with Vituity onboarding efforts including online application set-up, importing dat...