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Providence Quality Management and Credentialing Technician in Beaverton, Oregon

Description:

Providence St. Joseph Health is calling a Quality Management and Credentialing Technician to our location in Beaverton, OR.

We are seeking a Quality Management and Credentialing Technician to be responsible for providing services for and improving the quality and productivity of the Quality Management and Credentialing Department. The work focuses on technical and analytical support and/or the organization and coordination of one or more functional area support activities; analysis of service, production and/or program outcomes against policies, standards and objectives; and the development of training and documentation for process and performance improvement. The QM Technician uses a global approach to assure core activities and functional areas are integrated and linked to achieve the highest outcomes for our customers. This approach will result in improved quality of care and service, and higher customer and employee satisfaction.

In this position you will have the following responsibilities:

  • Proficient in the principle duties or functions of one or more core Quality Management and Credentialing Programs or Department functional areas.

  • Perform duties or functions of a core program (as assigned) according to established guidelines and analyze and prepare summary of results as requested. Work with Manager/Director/Supervisor to develop corrective action plans as needed to improve outcomes. Examples include ongoing monitoring for credentialing and accuracy tracking of credentialing activities against standards.

  • Act as a resource and provides technical assistance to the nursing staff, credentialing staff and Quality and Medical Management leaders on quality and credentialing information, database management and department operating procedures.

  • Research quality and credentialing databases to assess for specific information and functions.

  • Enter data and manages databases as required for management and support of programs and core functions.

  • Train or re-train staff and/or temporary personnel as necessary based on expertise, experience, action plans, external changes, or demands (regulatory or product).

  • Work with peers and others to resolve service or production problems.

  • Serve as a department liaison and resource to members, providers, and other PHP departments on Quality and Credentialing programs or functions, projects, activities, training and problem resolution.

Qualifications:

Required qualifications for this position include:

  • High School Diploma or GED.

  • 3 years experience in health insurance, health care field and/or customer service.

  • Current state registration, license, or certification as appropriate to education.

Preferred qualifications for this position include:

  • Bachelor's Degree.

  • Experience in utilization management, such as case management, medical review, claims audit, appeals, delegation or quality/credentialing.

  • Experience in a business environment.

  • Experience in database management and spreadsheets.

About Providence in Oregon

As the largest healthcare system and largest private employer in Oregon, Providence offers exceptional work environments and unparalleled career opportunities.

The Providence Experience begins each time our patients or their families have an encounter with a Providence team member and continues throughout their visit or stay. Whether you provide direct or indirect patient care, we want our patients to feel that they are in a welcoming place where they can be comfortable and free from anxiety. Our employees create the Providence Experience through simple, caring behaviors such as acknowledging and welcoming each visitor, introducing ourselves and Providence, addressing people by name, providing the duration of estimated wait times and updating frequently if timelines change, explaining situations in a way that puts patients at ease, carefully listening to their concerns, and always thanking people for trusting Providence for their healthcare needs. At Providence, our quality vision is simple,

"Providence will provide the best care and service to every person, every time."

Providence is consistently ranked among the top 100 companies to work for in Oregon. It is also home to two of our award-winning Magnet medical centers. Providence hospitals and clinics are located in numerous areas, ranging from the Columbia Gorge to the wine country to sunny southern Oregon to charming coastal communities to the urban setting of Portland. If you want a vibrant lifestyle while working with a team highly committed to the art of healing, choose from our many options in Oregon.

For information on our comprehensive range of benefits, visit:

http://www.providenceiscalling.jobs/rewards-benefits/

Our Mission

As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.

About Us

Providence is a comprehensive not-for-profit network of hospitals, care centers, health plans, physicians, clinics, home health care and services continuing a more than 100-year tradition of serving the poor and vulnerable. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.

Schedule: Full-time

Shift: Day

Job Category: Pharmacy Technician

Location: Oregon-Beaverton

Req ID: 268010

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