Delegation Oversight Coordinator

Location: Tigard or Portland

Nature and Scope: Responsible for auditing PacificSource and IPN credentialing delegates on an annual basis. Oversite of delegation policies and procedures as well as data entry of delegate data obtained from current rosters submitted to the credentialing department. Responsible for credentialing and re-credentialing practitioners and facilities in accordance with PacificSource policies and procedures, ensuring compliance with National Committee for Quality Assurance (NCQA)  standards and state and federal regulatory bodies. Responsible for the ongoing maintenance of files, preparation of files for audits, as well as electronic database input and management. Communicate directly with practitioners and facilities on credentialing issues and medical practice information.

Qualifications:

Work Experience: Minimum three years credentialing experience in the credentialing field and/or equivalent experience. Education, Certificates, Licenses: High School Diploma or equivalent required. NAMSS Certified Provider Credentialing Specialist Certification (CPCS) preferred.

 Knowledge: Effective written and verbal communication skills. Must be highly organized and possess strong interpersonal skills. Knowledge of NCQA credentialing standards as well as state and regulatory credentialing requirements. Knowledge of policy and procedure development. Knowledge of requirements and functions of the Credentialing Committee and how it contributes to the credentialing functions. Maintain regular contact with PacificSource Provider Network Management Department to update current practitioner information. Computer skills, including word processing, spreadsheet, database applications and medical terminology.

To apply: https://www.pacificsource.com/careers/

 PacificSource is an equal opportunity employer.  All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, national origin, sex, sexual orientation, gender identity or age.