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Credentialing & Med Staff App Analyst

Job ID 18-2253 Date posted 11/29/2018 Shift Days Shift Length 8 Hours Weekend Requirement None Hours Per Two Week Pay Period 80 Department Provider Credentialing & Enrollment Location Robbinsdale, Minnesota
DescriptionThe Credentialing & Medical Staff Applications Analyst serves as a subject matter expert in credentialing, privileging and enrollment data and its functionality and integrity within applications. Working under limited supervision, functions as systems administrator and business analyst for specific applications sponsored by North Memorial Health's Credentialing & Medical Staff Offices. Write database reports, defines and sets up system workflows and security settings; facilitates the integration of applications with other hospital systems; provides project management (including interdepartmental) to ensure that accurate provider data is available throughout the system and that credentialing workflows are efficient and well-integrated for customer-focused results.

• Liaise between Credentialing Department, Medical Staff Office, IT department and credentialing database vendor (Morrisey)
• Creates and assigns user security roles to all system users.
• Coordinates implementation of system upgrades/interfaces in partnership with the vendor and IT, supports end-user testing and validation.
• Performs on-call end-user support for new functionalities and day-to-day difficulties; troubleshoots system issues and escalates to IT or vendor as needed.
• Works to improve business processes and department workflows; identifies opportunities to enhance current practices.
• Works with key stakeholders to identify questions/needs and provide solutions via reporting.
• Trains all staff on MSOW database components and provides continuous support to staff on features and functions of MSOW.
• Creates and enforces controls to ensure data integrity; compiles and maintains data dictionary and data entry rules documentation.
• Reports on data integrity and accuracy.
• Partners with other application analysts.
• Maintains statistics on the users to track accuracy, rework and timeliness.
• Oversees the use of the database to ensure consistent and appropriate use.
• Maintains tables, data fields and all aspects of the database for optimal data and feed.
• Creates and manages needed reports using Crystal reports, BOE and other available reporting tools for customers within and outside of North Memorial Health.
• Develops and delivers management reports that reflect the operating performance and compliance and quality with service standards, applicable state and accrediting agency requirements.
• Evaluates proposed changes to existing application(s) to identify potential adverse impact upon operations.
• Develops end-user documentation, training and communications regarding system projects and functionalities, develops and conducts classroom training sessions where appropriate.
• Performs backup assistance for other department functions as needed.
• Maintains knowledge of initial, reappointments and payer enrollment processes, providing backup as needed.
• Bachelor's degree in Computer Science, Information Systems, Healthcare Informatics, or related field OR 4 years related experience in lieu of the Bachelor's degree required.

• 3 years’ experience credentialing/privileging.
• Experience with Morrisey Credentialing and Privileging Products.
• Ability to work independently in performing the work of the role while also being a strong team member.

Knowledge, Skills and Abilities
• Knowledge of provider credentialing, privileging and provider enrollment and/or provider on-boarding processes.
• Training in Lean or other process improvement methodologies.
License Requirement• CPCS or CPMSM Certification from NAMSS
NMH Preferred

At North Memorial Health, we’re on a mission to change healthcare. We’re delivering unmatched customer service and empowering our customers throughout Minnesota and Western Wisconsin to achieve their best health. North Memorial Health is a leader in delivering advanced medical care from Emergency, Urgent Care, Specialty Programs and Services, Primary Clinics, Ambulance and Air Medical Transportation.

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  • Administrative Support, Robbinsdale, Minnesota, United StatesRemove