SUMMARY:

We are currently seeking a Medical Staff Ops Analyst to join our Medical Administration team. This position is full-time with benefits, 80 hours per pay period, day, Monday - Friday, fully remote.

Purpose of this position: This position is responsible for liaising with internal and external stakeholders to lead and support projects and identify workflow opportunities and improve processes that impact the OMS and Medical Staff, including provider enrollment workflows and billing issues; peer review operations; and will act as a bridge between operational owners and EHR teams.

RESPONSIBILITIES:

* Act as a liaison for the OMS and provide support, education, collaborate, and lead projects with

key stakeholders and internal departments including clinical areas, EHR, Informatics, Middle

Revenue Cycle, Provider Financial Services, Payer Contracting, Compliance, Provider Practice

Services, Credentialing and Provider Enrollment and develop a working knowledge of these

operational areas.

* Manage, submit, and track tickets for OMS Operations maintenance work and process improvement projects

* Act as a SME for provider epic SER and blueprint set-up and collaborate on or lead related projects

* Maintain knowledge on provider taxonomy/specialty and lead or assist on projects as the "expert"

* Identify and resolve provider enrollment issues to reduce related claims denials and rejections

* Lead provider enrollment-claims meeting including maintaining electronic project management board

* Collaborate with delegated and non-delegated payers including enrollment issue resolution and interface with the credentialing database analyst to clarify and/or request provider data sent on the delegated reports

* Function as the primary "owner" of the provider EDI table in Epic, keep documentation up to date and oversee and maintain related projects and processes

* Facilitate Medical Staff peer review operations, including FPPE and OPPE, by assisting with data collection and maintenance and providing Medical Staff support

* Manage provider enrollment claims work queues

* Build and maintain metrics reports and dashboards using Power BI and other tools to support the OMS workflows that can be shared with stakeholders to increase transparency, improve efficiency, identify gaps, and solve problems

* Track OMS Operations standard work documents to be used as a resource by internal stakeholders and ensure timely updates

* Serve as the system administrator and provide support for the credentialing and/or peer review database with duties to include: maintaining user access and security; building and maintaining electronic forms; and creating and managing reports

* Oversee the organization of and support the Medical Staff Quality Committee

* Represent the OMS as a Forms Committee member

* Complete ad hoc projects as assigned

QUALIFICATIONS:

Minimum Qualifications:

* Bachelor's degree with emphasis on research, project management, education, or related field

* OR-

* An approved equivalent combination of education and experience

Preferred Qualifications:

* Experience with Cystal Reports

* Knowledge of provider hospital and payer credentialing and enrollment processes

* Experience with MSOW, RLDatix products, or other database management

License/Certifications

Knowledge/ Skills/ Abilities:

* Strong oral and written communication skill

* Experience with EPIC Electronic Health Record

* Demonstrated project management skills