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Join the Cleveland Clinic team where you will work alongside passionate caregivers and make a lasting, meaningful impact on patient care. Here, you will receive endless support and appreciation while building a rewarding career with one of the most respected healthcare organizations in the world.

At Cleveland Clinic, everyone is considered a caregiver, whether serving in a healthcare, customer service, administrative, or analytic role. As a Department Analyst, your caregiving begins in the office, where you will analyze and evaluate operational resources, data collection processes, services, programs, systems, budgets, and departmental procedures. In this role, you will also manage credentialing for Cleveland Clinic Foundation (CCF) providers, the largest provider group within the credentialing team, consisting of approximately 6,500 providers, ensuring they meet all health plan credentialing requirements and are accurately represented on delegated credentialing rosters. This position involves high-volume work with strict deadlines and rapid turnaround times following credentialing committee approvals.

A caregiver in this role works remotely from 8:00 a.m. -- 5:00 p.m. or 7:00 a.m. - 4:00 p.m.

T** **_o be considered for this position, you must reside locally and may be required to report to the West Creek facility on an occasional basis for meetings._

A caregiver who excels in this role will:

+ Analyze and evaluate operational and financial functions of administrative and operational units.

+ Analyze departmental resources, services, systems, budgets and programs.

+ Prepare and develop special reports and recommendations based on analysis.

+ Conduct basic statistical analysis and evaluation of unit services and performance.

+ Identify program or service strengths, weaknesses, and financial impact.

+ Identify opportunities for service and program improvement.

+ Assist with the development of operational plans, procedures and systems.

+ Review and evaluate current procedures and systems and develop recommendations for improvement.

+ Maintain awareness of and comply with various regulatory guidelines (JCAHO, FDA, HIPAA, OSHA, etc.).

+ Manage credentialing for CCF providers across multiple commercial health plans.

+ Ensure compliance with health plan credentialing criteria and delegated credentialing standards.

+ Perform primary source verification for licensure and credentials.

+ Maintain and update large provider rosters in Excel.

+ Meet tight deadlines (36-48 hours post-committee approval) for releasing providers to health plans.

+ Coordinate with internal teams to ensure accurate and timely credentialing

Minimum qualifications for the ideal future caregiver include:

+ Bachelor's Degree in Business, Healthcare Administration or a related field **and** one year of statistical analysis experience **or** five years of relevant experience in a health care setting

+ **OR** High School Diploma/GED **and** five years of experience

+ **OR** Associate's Degree **and** three years of experience

+ **OR** Master's Degree

+ Two years of commercial health plan credentialing experience

+ **OR** medical staff office credentialing experience

Preferred qualifications for the ideal future caregiver include:

+ Excel proficiency: (filtering, sorting, find/replace, navigating large rosters)

+ Understanding of credentialing criteria for health plans

+ Knowledge of delegated credentialing vs. manual enrollment

+ Knowledge of primary source verification processes

+ Comfortable working in a fast-paced environment with large data sets

+ Experience with credentialing processes and compliance standards

Physical Requirements:

+ Ability to perform work in a stationary position for extended periods

+ Ability to operate a computer and other office equipment

+ Ability to communicate and exchange accurate information

Personal Protective Equipment:

+ Follows standard precautions using personal protective equipment as required.

Pay Range

Minimum Annual Salary: $43,200.00

Maximum Annual Salary: $65,880.00

The pay range displayed on this job posting reflects the anticipated range for new hires. A successful candidate's actual compensation will be determined after taking factors into consideration such as the candidate's work history, experience, skill set and education. The pay range displayed does not include any applicable pay practices (e.g., shift differentials, overtime, etc.). The pay range does not include the value of Cleveland Clinic's benefits package (e.g., healthcare, dental and vision benefits, retirement savings account contributions, etc.).

Cleveland Clinic Health System is pleased to be an equal employment employer: Women / Minorities / Veterans / Individuals with Disabilities