Key Responsibilities Implementation & Configuration of Symplr Credentialing Software: • Lead the full lifecycle of Symplr credentialing software implementations for healthcare organizations, ensuring alignment with the client's credentialing workflows and regulatory requirements • Configure and customize the Symplr platform to meet the specific credentialing needs of healthcare providers, networks, or facilities • Collaborate with clients to understand their credentialing processes, data management practices, and regulatory requirements to configure the software accordingly • Manage software integration with existing hospital systems, EMR platforms, and third-party databases, ensuring seamless data flow Provider Data Management • Oversee the management of provider data within Symplr, ensuring that provider profiles are complete, accurate, and in compliance with healthcare regulations (e.g., NCQA, CMS, state- specific requirements) • Maintain up-to-date provider data in Symplr, performing regular audits, quality checks, and data validations to ensure consistency and compliance with industry standards • Implement best practices for data governance, ensuring that sensitive provider information is managed securely and according to healthcare privacy standards (HIPAA) • Troubleshoot and resolve data issues, including missing or outdated provider information, and ensure that data errors are corrected promptly Training & Support • Provide in-depth training to healthcare clients on the use of Symplr Credentialing software, including provider data management, credentialing workflows, and system functionality • Offer ongoing post-implementation support to healthcare clients, troubleshooting any software or data issues and assisting with system updates and enhancements • Develop and maintain user documentation, training materials, and FAQs to support the client’s use of Symplr’s credentialing system Regulatory Compliance & Best Practices • Stay informed about changes in healthcare regulations related to provider credentialing (e.g., NCQA, CMS, URAC, state licensing) and ensure that Symplr’s credentialing solutions remain compliant • Advise clients on best practices for credentialing and provider data management, including strategies for reducing administrative burdens and improving efficiency • Ensure compliance with accreditation standards and assist clients in meeting accreditation requirements (e.g., NCQA, The Joint Commission) Client Relationship Management • Act as the primary point of contact for healthcare organizations during the implementation process, ensuring clear communication and effective project management • Build and maintain strong relationships with clients by understanding their unique credentialing and data management needs and delivering tailored solutions • Communicate effectively with key stakeholders, including clinical leadership, credentialing teams, and IT departments, to ensure the success of the implementation Continuous Improvement & Process Optimization • Monitor the performance of credentialing software post-implementation, identifying opportunities to optimize workflows, increase automation, and reduce manual interventions • Collaborate with product development teams to provide feedback on software features and enhancements based on client needs and industry trends • Identify and recommend process improvements to enhance the credentialing and provider data management experience for healthcare organizations Qualifications Experience: • Experience and strong knowledge/background Implementing the Symplr Provider Data Management Module • Minimum of 3-5 years of experience in healthcare provider credentialing, credentialing software implementation, or healthcare data management • Proven experience working with Symplr Provider Credentialing software or similar credentialing management systems (e.g., Verity, Echo, Modio) • Strong understanding of healthcare provider data management practices, including provider enrollment, credentialing, recredentialing, and ongoing monitoring Skills & Knowledge • In-depth knowledge of healthcare credentialing regulations, including NCQA, URAC, CMS, and state-specific credentialing requirements • Experience with data migration, integration, and data quality management, particularly in the context of provider data • Familiarity with healthcare IT systems, databases, and integration methods, including EMR and other clinical systems • Proficiency with Microsoft Office Suite (Excel, Word, PowerPoint) and credentialing software • Strong analytical and problem-solving skills, with the ability to troubleshoot data discrepancies and issues • Certification in healthcare credentialing (e.g., CPCS, CPMSM) is highly desirable but not required Preferred Qualifications • Experience in a consulting or project management role within a healthcare organization. • Knowledge of other credentialing software systems or healthcare compliance tools. • Familiarity with healthcare compliance frameworks and accreditation bodies (e.g., NCQA, The Joint Commission) Key Competencies • Attention to Detail: Precision in managing provider data and ensuring compliance with healthcare standards • Communication Skills: Ability to effectively convey complex credentialing concepts and data management processes to both technical and non-technical stakeholders • Client-Focused: Ability to understand the unique needs of healthcare clients and deliver solutions that improve operational efficiency and compliance • Project Management: Strong organizational skills, with the ability to manage multiple implementations and deadlines simultaneously • Problem-Solving: Ability to identify issues within credentialing workflows or data and implement effective solutions
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