Sr. Credentialing & Enrollment Specialist

Location: Hybrid, 2 days a week in our North Haven CT Office.The Senior Credentialing & Enrollment Specialist is responsible for all aspects of the credentialing, re-credentialing and privileging processes for all launching all providers in Privia’s high performance medical group.Assures compliance with all health plan requirements as related to the provider certification and credentialing.Works with leadership team in reviewing and streamlines processes and workflows for the on-boarding department, using automation, where appropriateOversees special projects requiring knowledge of delegated and non-delegated health plan requirementsWorks with leadership team to develop a more streamlined process for distribution ofCredentialing Packets and is responsible for distribution of same.Leads ¼ of the cred committee meetings and maintains minutes for each.Responsible for training and onboarding of all new employees responsible for credentialing for Privia.Assigns files to credentialing staff and ensures equal distribution of inventory across all markets.Interacts with varied levels of management, physician office staff and physicians effectively toaccomplish credentialing and various elements of implementation and launchMaintain up-to-date data for each provider in credentialing databases and online systems;ensure timely renewal of licenses and certifications. In addition, the Credentialing andenrollment specialist is responsible for all audits to ensure that delegated credentialing entities are compliant.Will be responsible for completing 25 files per month based on time in production.Maintains confidentiality of provider informationCoordinate and prepare reportsRecord and track credentialing statisticsOther duties as assigned