Vendor Credentialing Specialist (Temp)

Job description

The Vendor Management Specialist manages the relationship for all business services being performed by external vendors as related to credentialing. Management of these vendors include but are not limited to: responding to internal inquiries regarding business needs related to the credentialing verification organization (CVO); keeping internal stakeholders informed of credentialing decisions and issues found within the primary source verification (PSV) process as completed by the CVO; oversight of delegated vendor/entity audits as completed by the CVO; monthly monitoring of provider network; Credentialing Committee preparations including but not limited to agenda, provider summaries, reporting, etc. Routine Tasks: Daily review of incoming credentialing cases across PITS and UPE, identify delegated providers and update case notes as needed, import new non-delegated initial providers into CVO, and assign cases to designated credentialing staff. Provide feedback and communicate issues to CVO as identified when using the platform and by the credentialing staff. Log and track CVO support tickets as needed. Coordinate bi-weekly Medical Director ad-hoc emails for approval of clean individ...