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About the Role

Responsible for all activities associated with onboarding and credentialing of Clinical Reviewers, specifically for IPRO’s VHA Peer Review Contract. Duties include processing provider applications and re-applications, reviewing and loading information into the database tracking system to ensure high-quality standards are maintained and compliant with all regulatory and organizational standards.

Responsibilities

• Coordinate, prepare, submit, and monitor initial credentialing and recredentialing applications for all Clinical Reviewers, including the VHA Federal Personal Identity Verification (PIV) card process.
• Submit applications to the Credentialing Verification Organization (CVO) and collaborate with IPRO’s Credentialing Coordinator.
• Provide ongoing follow-up to ensure timely completion of all credentialing requirements.
• Maintain and manage provider records within electronic databases and credentialing platforms.
• Generate queries, reports, and documentation while identifying opportunities to improve operational efficiency and data integrity.
• Ensure provider files remain fully compliant with URAC standards, applicable state and federal regulations, contractual obligations, and organizational policies.
• Monitor and track the expiration of critical credentials and documentation, including state licenses, CPR certifications, malpractice and liability insurance, and other required credentials.
• Facilitate timely renewals to ensure uninterrupted compliance.
• Serve as the primary point of contact among Clinical Reviewers, Medical Directors, and internal departments to resolve discrepancies, streamline onboarding activities, and support credentialing processes.
• Provide timely assistance regarding applications, documentation requirements, appointments, and PIV card access and facilitation.
• Coordinate and facilitate ongoing Credentialing Committee meetings involving internal stakeholders, external partners, clinical team members, and Medical Directors.
• Prepare meeting materials, document outcomes, and support follow-up activities as required.
• Provide support for recruitment, onboarding, and related departmental initiatives as assigned.

Requirements

• Exceptional written and verbal communication skills, with a demonstrated commitment to accuracy and attention to detail.
• Strong interpersonal and relationship-building abilities, with the capacity to effectively engage and collaborate with internal and external stakeholders at all organizational levels.
• Highly developed organizational and time-management skills, with the ability to prioritize competing responsibilities and manage multiple assignments concurrently.
• Demonstrated ability to maintain a professional, courteous, and positive demeanor in all interactions.
• Capable of working independently with minimal supervision while contributing effectively within a collaborative team environment.
• Advanced computer proficiency, including extensive experience with Microsoft Office applications (Word, Excel, Access, and PowerPoint).
• Strong database management capabilities, including querying and document generation.
• Proven ability to ensure the accuracy, integrity, and quality of reports, records, and data.
• Comprehensive understanding of healthcare and credentialing processes, including the importance of maintaining confidentiality and safeguarding sensitive information.

Location

• Jericho, NY

Work Type

• Onsite

Experience Level

• 3 years of work experience in a healthcare setting with multiple project responsibilities
• 2 years of credentialing experience, especially with government organizations

Education Level

• Associate degree in healthcare administration, business, or related field
• Bachelor’s degree in healthcare administration, business, or related field

Salary/Compensations

• $27.88 - $29.80 per hour

About the Company

• IPRO is an Equal Opportunity Employer.

Equal Opportunity

• All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, disability, protected veteran status or military status.