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  • Medical Staff Office Senior Credentialing…

    NTT DATA North America (Cumberland, RI)



    Apply Now

    At NTT DATA, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees have been key factors in our company’s growth and market presence. By hiring the best people and helping them grow both professionally and personally, we ensure a bright future for NTT DATA and for the people who work here.

     

    For more than 25 years, NTT DATA have focused on impacting the core of your business operations with industry-leading outsourcing services and automation. With our industry-specific platforms, we deliver continuous value addition, and innovation that will improve your business outcomes. Outsourcing is not just a method of gaining a one-time cost advantage, but an effective strategy for gaining and maintaining competitive advantages when executed as part of an overall sourcing strategy.

     

    NTT DATA Services currently seeks a Medical Staff Office Senior Credentialing Coordinator to join our team working 4 days remotely from home and one day in office on Tuesday in Cumberland, RI. This is a W2 temporary job opportunity starting on October 13, 2025.

    Job Summary:

    The Medical Staff Office Senior Coordinator has primary responsibility for the non-clinical aspects of physician operations administered by clinic. In this role you will be a part of a collaborative cross-functional team charged with ensuring that the evolving administrative physician operations which support the Health company comply with internal and external regulations, standards, and practices.

     

    **Duties** :

     

    - Support provider onboarding by ensuring Collaborative Practice Agreements and/or prescriptive authority documents are fully executed, filed, and maintained as applicable.

     

    - Responsible for initial credentialing and re-credentialing of nurse practitioners, physician assistants and physicians in a timely manner and compliant in accordance with Joint Commission, NCQA and URAC credentialing standards as required.

     

    - Utilize the MDStaff database to record and maintain pertinent information

     

    - Assist in various projects as needed

     

    - Participates in other departmental activities as assigned

     

    - Conduct sanctions and compliance monitoring and alert Credentialing Manager and Revenue Director of any undisclosed negative findings

     

    - Process malpractice insurance verification requests according to internal policies

     

    - Maintain the provider and physician SharePoint sites and Communicate provider status’s with leadership and other internal teams to meet timelines

     

    - Submit system access requests upon credentialing approvals/clinic eligibility

     

    - Notify system analyst and leadership of any system and state agencies interruptions/updates/password changes

     

    - Attend and engage in all team meetings

     

    - Model a positive attitude in interactions with team members

    Job Requirements** **:

    - 3+ years of experience working in a fast-paced, complex administrative environment with experience in credentialing.

     

    - 3 + years of understanding of initial credentialing and re-credentialing practices for medical professionals including primary source verification methods, compliance monitoring and expireables management.

     

    -1 + years of experience in a healthcare environment.

    Preferred Requirements:

    - Easily adapt to change in an energetic environment.

     

    - Comfortable with communicating at all levels in the organization.

     

    - Motivated to establish, maintain, and manage working relationships with colleagues, external vendors, and contracted physicians.

     

    - Strong problem-solving skills.

     

    - Must be able to assess situations and make decisions, independently at times.

     

    - Project management experience preferred.

     

    - Microsoft Excel proficient

    MDStaff experience preferred

    **Education** :

     

    - Verifiable High School Diploma or GED required

     

    Associates Degree or Bachelor's degree required

     

    - NAMSS Certified Professional Credentialing Specialist (CPCS) certification (preferred)

     

    About NTT Data

     

    NTT DATA is a recognized leader in IT and business services, including cloud, data and applications, headquartered in Texas. As part of NTT DATA, a $30 billion trusted global innovator with a combined global reach of over 80 countries, we help clients transform through business and technology consulting, industry and digital solutions, applications development and management, managed edge-to-cloud infrastructure services, BPO, systems integration and global data centers. We are committed to our clients' long-term success. Visit nttdata.com or LinkedIn to learn more.

     

    NTT DATA is an equal opportunity employer and considers all applicants without regarding to race, color, religion, citizenship, national origin, ancestry, age, sex, sexual orientation, gender identity, genetic information, physical or mental disability, veteran or marital status, or any other characteristic protected by law. We are committed to creating a diverse and inclusive environment for all employees. If you need assistance or an accommodation due to a disability, please inform your recruiter so that we may connect you with the appropriate team.

     


    Apply Now



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    NTT DATA North America (Cumberland, RI)
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