认证经理
Credentialing Manager
我们是谁
Icon Health 是价值导向的肌肉骨骼（MSK）护理领域的领先提供商，与支付方和提供方合作，提升个人的治疗结果和体验。公司与健康计划和承担风险的提供方合作，对降低整体医疗成本负责。通过将技术驱动的 MSK 提供方与主动的护理协调和决策支持服务相结合，Icon Health 提供多学科、循证的护理。
我们坚信每位患者都应真正满意其护理体验。通过以患者为中心的实践，确保整个临床团队明确护理目标，并将临床医生置于护理交付的核心，我们旨在将碎片化的系统转变为真正服务于患者的系统。我们的模式采用团队协作的护理方式，整合肌肉骨骼专业知识和初级护理，以实现更好的患者结果。
在 Icon Health，我们培养一种鼓励大胆思考、快速迭代和实际解决问题的文化。我们寻找那些热衷于挑战现状并在垂直整合的角色中茁壮成长的团队成员——在这里，想法可以迅速从概念转化为执行，而无需层层审批。最重要的是，我们重视那些愿意撸起袖子、迎难而上并创造创新解决方案的人，这些方案能改善患者和临床合作伙伴的生活。
你将负责：
- 管理所有提供方资质认证和注册申请的全流程整理和提交，以确保及时批准。
- 主动建立网络，识别并接触关键决策者，成功申诉并应对封闭的医疗团队。
- 审核和筛选初始及续聘的资质认证申请，确保其完整、准确并符合联邦、州、地方和实体特定的法规、指南、政策和标准。
- 监控执照和认证的到期日期，及时启动续期流程，防止服务或计费问题。
- 收集和验证文件，确保所有资质要素的准确性；评估信息和资质的完整性是否符合资质标准。
- 将提供方申请中的数据录入、更新并维护到资质数据库中，符合内部政策和程序。
- 准备、签发、跟踪并跟进资质状态，以高效、大批量地处理相关事务。
查看英文原文
Who We Are
Icon Health is a leading provider of value-based musculoskeletal (MSK) care, collaborating with payers and providers to enhance outcomes and experience for individuals. The company partners with health plans and risk-bearing providers to assume accountability for reduced total cost of care. By combining technology-enabled MSK providers with proactive care coordination and decision support services, Icon Health delivers multidisciplinary, evidence-based care.
We founded Icon Health on the conviction that every patient should be genuinely delighted with their care experience. By prioritizing patient-centered practices, ensuring clear care goals across the entire clinical team, and placing clinicians at the heart of care delivery, we aim to transform a fragmented system into one that truly serves patients. Our model uses a team-based approach to care, integrating musculoskeletal expertise and primary care to achieve better patient outcomes.
At Icon Health, we foster a culture that embraces bold thinking, rapid iteration, and practical problem-solving. We seek team members who relish challenging the status quo and thrive in vertically integrated roles—where ideas can swiftly move from concept to execution without layers of red tape. Above all, we value individuals who are eager to roll up their sleeves, tackle obstacles head-on, and create innovative solutions that improve the lives of our patients and our clinical partners.
What You’ll Do:
- Manage the end-to-end curation and submittal of all provider credentialing and enrollment applications to ensure timely approvals.
- Proactively network, identify and engage key decision-makers to successfully appeal and navigate closed panels.
- Review and screen initial and reappointment credentialing applications for completeness, accuracy, and compliance with federal, state, local and entity-specific regulations, guidelines, policies, and standards.
- Monitor expiration dates for licenses and certifications, launching timely renewals to prevent service or billing issues
- Collect and validate documents to ensure accuracy of all credentialing elements; assess completeness of information and qualifications relative to credentialing standards
- Enter, update, and maintain data from provider applications into credentialing database in accordance with internal policies and procedures.
- Prepare, issue, track, and follow-up on credentialing statuses for efficient, high-volume processing in accordance with applicable standards, established procedural guidelines, and strict timelines.
- Conduct research on updated state and federal regulations and policies
- Ensure the facility and staff members are maintaining compliance with regulatory and accrediting institutions
- Participate in the development and implementation of process improvements for the system-wide credentialing process;
What We're Looking for:
We are always looking for new team members who will add to our company’s DNA and have a strong passion for impact.
- High school diploma required; associates or bachelor's degree in healthcare administration or a related field is preferred
- 3-5 years of experience in credentialing or provider enrollment.
- Experienced with multi state, multi payer hybrid (telehealth and in person) A MUST
- Ability to think creatively to navigate closed panels and proactively anticipate any potential roadblocks.
- Certified Provider Credentialing Specialist (CPCS) is a strong plus.
- Proficiency in database management, Google Suite, and AI-assisted credentialing or license-monitoring tools.
- High attention to detail, strong organizational abilities, effective communication, and strict adherence to data confidentiality.
- Knowledgeable in policies, laws and procedures
We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment based upon age, color, handicap or disability, ethnic or national origin, race, religion, religious creed, gender (including discrimination taking the form of sexual harassment), marital, parental or veteran status, sexual orientation, gender identity, or gender expression.
Job Type: Full Time M-F 8-4 or 9-5 in EST or CST
Benefits:
- Flexible scheduling options (to be discussed in interview)
- Benefit package including medical, dental and vision effective on Day 1
- Work Location: Fully Remote
Important Notice: Protect Yourself from Recruitment Fraud
To ensure you are communicating with a legitimate Icon Health representative, please not
- Verified Communication: All official emails from our team will only come from an @iconhealthco.com email address.
- Live Interviews: We never hire based on text or chat alone. Our multi-stage interview process always involves several live conversations with our team members via phone and/or web conference.
- Your Privacy: We will never ask for sensitive financial information, home office equipment fees, or payment at any point during the hiring process.
If you receive a suspicious request or an email from a different domain claiming to represent Icon Health, please do not engage
Originally posted on Himalayas