About Our Company

We’re a physician-led, patient-centric network committed to simplifying health care and bringing a more connected kind of care.

Our primary, multispecialty, and urgent care providers serve millions of patients in traditional practices, patients' homes and virtually through VillageMD and our operating companies Village Medical, Village Medical at Home, Summit Health, CityMD, and Starling Physicians.

When you join our team, you become part of a compassionate community of people who work hard every day to make health care better for all. We are innovating value-based care and leveraging integrated applications, population insights and staffing expertise to ensure all patients have access to high-quality, connected care services that provide better outcomes at a reduced total cost of care.

Please Note: We will only contact candidates regarding your applications from one of the following domains: @summithealth.com, @citymd.net, @villagemd.com, @villagemedical.com, @westmedgroup.com, @starlingphysicians.com, or @bmctotalcare.com.

Job Description

At VillageMD, we're looking for a Credentialing Specialist to help us transform the way primary care is delivered and how patients are served. As a national leader on the forefront of healthcare, we've partnered with many of today's best primary care physicians. We're equipping them with the latest digital tools. Empowering them with proven strategies and support. Inspiring them with better practices and consistent results.

We are creating care that's more accessible. Effective. Efficient. With solutions that are value-based, physician-driven and patient-centered. To accomplish this, we're looking for individuals who share our sense of excellence, are ready to embrace change, and never settle for the status quo. Individuals who have the confidence to lead but the humility to never stop learning.

Could this be you?

Integral to our team, you’ll be responsible for all aspects of the payer credentialing, re-credentialing, and privileging processes for launching all providers. In this role, the Credentialing Coordinator is a key liaison between the providers, the payers, and VillageMD.

How you can make a difference

· Obtain pertinent data from providers to initiate the credentialing process

· Perform quality review audits of credentialing files

· Maintain up to date data for each provider in databases

· Track provider licenses, certifications, and professional liability insurances to ensure timely renewals.

· Present files to Medical Director or Credentialing Committee as required

· Maintains delegate files in accordance with the NCQA standards set forth by internal policies and procedures and local and federal regulatory requirements

· Coordinates with all delegates to ensure timely and accurate receipt and transmission of additions, terms and changes to network physician information

· Assists with delegation audits as well as pre-delegation assessments, including policy and procedure review and file review to ensure regulatory compliance as needed

· Interact with internal departments, varied levels of management, physicians, and physician’s office staff effectively to accomplish credentialing timelines

· Meet or exceed departmental timeframes and quality metrics on a consistent basis

· Perform all other related duties as assigned

Skills for success

· A willingness to learn, take initiative and be resourceful

· A bias for action and pragmatic solutions

· Detail and results-oriented, ability to manage and prioritize requests, and effectively communicate

· The ability to be flexible in an ambiguous and dynamic environment

· Ability to solve problems, and establish trust

· A low ego and humility; an ability to gain trust through strong communication and doing what you say you will do

· Strong desire to learn and grow within a fast-growing company

Experience to drive change

· Experience in managed care credentialing and/or Medical Staff service setting, specifically working with individual providers and Credentialing Committee members is preferred.

· Experience with data management and entry utilizing industry platforms such as Cactus, CredentialStream or Ech