Credentialing Consultant

About Sound

Founded in 2001 and headquartered in Nashville, TN, Sound Physicians is a nationally respected, physician-led medical group practicing in 400+ hospitals across 45 states. Our team of 4,000+ clinicians and 1,000+ business professionals across the country is united by one mission: to build exceptional clinical partnerships that unlock quality, affordable, dignified care for everyone – no matter who they are or where they live. With physician-led clinical teams and more than two decades of operational expertise, we’ve refined what it takes to consistently deliver exceptional care in hospital medicine, emergency medicine, critical care, anesthesia, and telemedicine.

Why join us?

• A remote-first culture that values flexibility and collaboration
• Opportunities to grow your career while making a real impact
• A team that champions inclusivity, innovation, and excellence

Whether working virtually or onsite at one of our practices, you’ll be part of a purpose-driven organization shaping the future of healthcare.

Sound Physicians offers a competitive benefits package inclusive of the items below, and more:

• Medical insurance, Dental insurance, and Vision insurance
• Health care and dependent care flexible spending account
• 401(k) retirement savings plan with a company match
• Paid time off (PTO) begins accruing immediately upon start date at a rate of 15 days per year, in accordance with Sound's PTO policy
• Ten company-paid holidays per year

About the Role

The Credentialing Consultant will collaborate with the Practice Managers, Staffing Account Managers, and other internal Sound Physicians stakeholders to support our clinician credentialing workflows.

Essential Duties and Responsibilities

Clinician Credentialing Expertise:

• Understands national, state, and market dynamics in the clinician credentialing domain; maintains current knowledge and documentation of specific processes and nuances in the portfolio they support.
• Works interactively with colleagues within their portfolio and the Clinician Services department to provide guidance and answer questions related to clinician credentialing.
• Brings ideas and innovation to the Credentialing team to improve and develop modern processes and workflows, and ensures Sound provides a best-in-class clinician experience that offers efficient, high-quality, and seamless clinician credentialing.

Technical Expertise, Reporting, and Analytics:

• Expertise in clinician credentialing platform
• Provides Tier 1 technical troubleshooting for Sound Practice Managers as related to clinician credentialing platform and features.
• Managing credentialing platform’s role-based access, communication, and training to Practice Managers in their portfolio with access to ensure they are fully equipped to support their medical practice team.
• Monthly credentialing file audits to ensure controls and compliance guidelines are met in the clinician credentialing process.
• Using data, analytics, and reporting proactively to support practice leader stakeholders to drive decision making and/or provide valid, actionable insights based on clinician credentialing files in process.
• Proactively maintains data and monitors processes via reporting.

Service and Relationship Development:

• Supports the practices in their portfolio to ensure inbound clinicians are supported in the clinician credentialing process.
• Responsible for directly supporting clinician credentialing for new programs and when Practice Manager vacancies occur; onboards new Practice Managers to credentialing process.
• Builds and maintains strategic relationships with practice leaders in their portfolio to ensure the clinician credentialing process is current, compliant, and working as designed to help minimize/mitigate any delays in clinicians’ anticipated start date.
• Serves as peer mentor and/or coach to Practice Managers and members of the Sound central Credentialing team, providing one-on-one training, as well as in-person/virtual development training sessions.

Values

• Self-motivated: Proactively jumps in to start a task or project with limited direction; self-directed in achieving key outcomes; asks to take on more responsibility and what’s next.
• Service-oriented: Desire to see the people and teams they support succeed, always asks ‘how can I help.’
• Driven: Motivated to succeed and get things done at a high level of achievement.
• Intellectually curious: Demonstrates a genuine interest in learning new things, wants to know the reason “why” behind the way things are done, and values maintaining expertise to be the go-to subject matter expert.
• Persistent: Demonstrates the ability to “keep at it” even when obstacles or challenges are present; returns to the work at hand after a change of course.
• Resourceful: Proactive willingness to utilize available information and tools to figure things out.

Knowledge, Skills, and Abilities

• Thorough knowledge of complete clinician credentialing process to include risk assessments, and process and procedures for state licensure, primary source verifications, hospital privileging, and payer enrollment.
• Proficiency in Microsoft 365 suite.
• Analytical skills in validating data as well as quickly performing ad hoc analysis.

Education and Experience

• Bachelor’s degree in Business Administration, Health Administration, Healthcare Management, or a related field of study; or a minimum of 4+ years of directly related experience in lieu of degree
• 4+ years experience in the health services industry with direct involvement in obtaining medical licenses, hospital privileging, or working in a Medical Staff Office or Verification services. Equivalent experience in related roles will also be considered

Salary Range:

Sound Physicians is an Equal Employment Opportunity (EEO) employer and is committed to diversity, equity, and inclusion at the bedside and in our workforce. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, gender identity, sexual orientation, age, marital status, veteran status, disability status, or any other characteristic protected by federal, state, or local laws.

This job description reflects the present requirements of the position.  As duties and responsibilities change and develop, the job description will be reviewed and subject to amendment. 

Originally posted on Himalayas