Healthcare Data and Credentialing Analyst

Job Description

Sun River Health provides the highest quality of comprehensive primary, preventative and behavioral health services to all who see it, regardless of insurance status and ability to pay, especially for the underserved and vulnerable. Sun River Health is a Federally Qualified, Non-Profit Health Center serving communities in Suffolk, Rockland, Orange, Dutchess, Ulster, Sullivan, Columbia and Westchester County. Sun River Health is currently seeking a full-time Healthcare Data and Credentialing Analyst to join our team in our team in a primarily rempte setting.

Evaluate medical data to improve clinical operation activities of Sun River Health. Candidate will compile and organize health care data to ensure compliance with applicable State or Federal Occupational Health regulations. Candidate will assist VP of Employee Health Services in Occupational Health Projects including Annual Health Programs, Pre-employment health, Respiratory Protection Program, and wellness or vaccination campaigns. Candidate will prepare status reports, create record-keeping processes, and assess all data from different sources to analyze employee health progress and other related activities. Candidate will also conduct activities related to initial credentialing, re-credentialing for OLCP employees and ensure accurate file maintenance for successful Audits

Job Competencies :

• Responsible for tracking individual Occupational Health requirements such as COVID, Flu, or other immunizations, TB screening, Annual Health
• Provide review of large datasets and ensure accuracy in analysis. Working with multiple departments to reconcile employee data discrepancies (HR and Informatics)
• Respiratory Protection Program : Tracking of FIT testing compliance for new and existing employees
• Provide support in all data aspects of occupational health and perform other duties as assigned
• Initiate and maintain all HRSA OLCP (Other License or Certified Health Care Practitioners employees' files- RN, LPN, MT, CA, DA, CASAC, and others)
• Review credentialing documents for completeness and thereafter ensure confidential information collection, verification, and documentation in accordance with established policies and procedures for continuous file maintenance
• OCLP files are re-credentialed every two years accurately and in time before two years expiration, included but not limited to expirable documents, annual NPDB, and ensuring the file meets HRSA and other regulatory policies, guidelines, and accreditation standards for successful Audit outcomes
• Ensure that all required expirable documents are current
• Ensure data security and confidentiality by use of a confidential system. This entails appropriate labeling of information and storage, and appropriately securing file cabinets and drawers
• Strong understanding of Primary source verification, including but not limited to Licensure, Degree Verification, NYSED, RMA, NPDB, NPPES, OIG, OMIG, SAM, Opt-out, OFA, etc.
• Ensure HRSA employee's initial CLIA, Skills Assessment, and Annual Clinical Training assessments are maintained
• Track / maintain providers and HRSA OLCP employees Initial / Annual Health Assessments
• Closely monitor information collection and be organized of all information received; evaluate adequacy and quality and pursue additional information, if necessary, for effective file maintenance. If identified employees' any adverse information, immediately report accordingly
• Monitor system for reporting of information and quality improvement staff to ensure that a linkage of employees' information is maintained in all databases (credentialing and quality assurance)
• Keep abreast of changes to regulations and standards
• Perform credentialing related tasks and other duties as assigned
• Create reports and present clinical insights from the analysis of data from Sun River's EHR - eClinicalWorks and reporting platforms (Cognos and Spotfire)
• Responsible for discovering discrepancies and patterns in available healthcare data
• Provide reports or data presentations to VP of Employee Health and internal and external entities as required
• Provide suggestions on ways to improve workflow, delivery, and quality

Education : Bachelor's Degree required

Pay Rate : $21.00 - $23.00 per hour

Responsibilities

Relation to Mission

The mission of Sun River Health is to increase access to comprehensive primary and preventive health care and to improve the health status of our community, especially for the underserved and vulnerable.

Equal Employment Opportunity

Sun River Health provides equal employment opportunities to all qualified individuals without regard to race, creed, color, religion, national origin, age, sex, marital status, sexual preference, or non-disqualifying physical or mental handicap or disability in each aspect of the human resources function.

Americans with Disabilities Act

Applicants as well as employees who are or become disabled must be able to perform the essential job functions either unaided or with reasonable accommodation. The organization shall determine reasonable accommodation on a case-by-case basis in accordance with applicable law.

Job Responsibilities

The following statements reflect the general duties, responsibilities and competencies considered necessary to perform the essential functions of the job and should not be considered as a detailed description of all the work requirements of the position. Sun River Health may change the specific job duties with or without prior notice based on the needs of the organization.

Salary : $21 - $23