COVID-19 Vaccination Information

Across UPMC, our guiding principle is to always prioritize the safety of our employees, patients, and members. UPMC believes that vaccination is important, helps protect all, and advocates that everyone who can be vaccinated should be vaccinated.

UPMC complies with all governmental requirements related to local, state, and federal COVID-19 vaccination for employment. The Jan. 13 Supreme Court of the United States decision that the Centers for Medicare & Medicaid Services federal COVID-19 vaccine mandate will move forward requires UPMC to ensure employees either get vaccinated or receive a requested medical or religious exemption.

If you are not yet vaccinated, we urge you to get a vaccine now. You can schedule your COVID-19 vaccination through UPMC or visit a non-UPMC provider or UPMC Urgent Care location.

Proof of vaccination is not required upon hire; however, employees will be responsible for ensuring post-hire compliance by getting vaccinated or requesting a medical or religious exemption.

For more information about UPMC’s response to COVID-19, please visit UPMC.com/coronavirus.

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Credentialing Analyst

  • Job ID: 943476626
  • Status: Full-Time
  • Regular/Temporary: Regular
  • Hours:
  • Shift: Day Job
  • Facility: Community Care Behavioral Health
  • Department: Credentialing_Contractin
  • Location: 339 Sixth Avenue, Pittsburgh PA 15222
  • Union Position: No
  • Salary Range: $16.86 to $26.56 / hour

Description

UPMC has an exciting opportunity for a Credentialing Analyst. With Monday through Friday daylight hours and a flexabile work environment, don't miss your chance to join this established team!

 
Handle credentialing duties within Community Care. Ensures the accurate completion and maintenance of credentialing files. Take files for credentialing through the entire process including interacting with external agencies for PSV and bringing problems about a particular file to the attention of the Credentialing Supervisor.

Responsibilities:

  • Provide support to Data Management including but not limited to: spreadsheet maintenance, license, degree and insurance product data query in contract and credentialing
  • Demonstrate knowledge of state, federal, and NCQA regulations concerning credentialing.
  • Complete provider complaint documentation.
  • Identify problems/issues associated with the credentialing process.
  • Coordinate site visit completion with Credentialing Analyst responsible for this task.
  • Utilize the Provider at Risk list to assist to identify provider files requiring urgent attention.
  • Complete data entry at 95% accuracy.
  • Provide back up for other Credentialing Analysts and to the Credentialing Team as assigned by the Credentialing Supervisor.
  • Utilize Equifax, NPDB, and the federal cumulative sanction software for credentialing.
  • Initiate and maintain fluid communication with individual providers being credentialed.
  • Maintain complete and accurate records regarding credentialing/re-credentialing for practitioners or facilities as assigned.
  • Prioritize work assignments related to credentialing processes to ensure timely completion with satisfactory results.
  • Initiate consultation with the Chief Medical Officer or designee when provider specific information warrants, to include but not limited to NPDB queries, Act 33 & 34, claims histories, licensure, references.
  • Maintain confidentiality concerning queries through all credentialing processes.
  • Track expired data for providers and follow-up appropriately including state licensure, professional references, NPDB, etc.
  • Communicate with Network Management and Contracting regarding providers presenting problems with completing initial credentialing/re-credentialing.
  • Complete PsychConsult Network Credentialing Manager checklist for all practitioners assigned for review.
  • Enter provider data into PsychConsult Network Credentialing Manager and PSV Manager.

 

Qualifications

  • High school diploma or equivalent required.
  • Experience in credentialing preferred.
  • Excellent written/verbal communication skills.
  • Ability to gather and manipulate data accurately and consistently.
  • Strong organizational skills.
  • Ability to manage multiple task and be flexible to the daily needs of the organization.
  • Computer competence.
  • Attention to detail.


Licensure, Certifications, and Clearances:

UPMC is an Equal Opportunity Employer/Disability/Veteran

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Our Values

At UPMC, we’re driven by shared values that guide our work and keep us accountable to one another. Our Values of Quality & Safety, Dignity & Respect, Caring & Listening, Responsibility & Integrity, Excellence & Innovation play a vital role in creating a cohesive, positive experience for our employees, patients, health plan members, and community. Ready to join us? Apply today.

   Current UPMC employees must apply in HR Direct