Credentialing & QI Reporting Specialist

If you are unable to complete this application due to a disability, contact this employer at recruiting@options.org to ask for an accommodation or an alternative application process.

Options Counseling and Family Services, founded in 1991 in Florence, Oregon, has since expanded to serve fourteen counties in western Oregon. Headquartered in Eugene, we provide quality mental health and family preservation services to diverse communities. Committed to supporting health, safety, and empowerment.

Benefits

Options offer these benefits to our full-time employees (full-time is any employee working 30 hours per week) company-paid health/vision and dental, long-term disability, and life insurance; for a full list of all benefits, please view our website: https://options.org/careers/benefits.
 

Studies have shown that women and people of color are less likely to apply for jobs unless they believe they have every one of the qualifications as described. We are most interested in finding the best candidate and our hiring processes are centered on assessing candidates based on diverse experience. Please let us know if you have questions.

General Description

The primary responsibility of the Credentialing & QI Reporting Specialist is to support the agency’s compliance, credentialing, and quality improvement functions. This position facilitates the timely credentialing of applicable staff with Coordinated Care Organizations (CCOs) and private panels while also supporting Quality Improvement (QI) initiatives through data tracking, reporting, and compliance monitoring

This role works collaboratively with clinical and administrative staff to ensure accurate documentation, reporting compliance, and adherence to Oregon Administrative Rules (OAR) and contractual requirements. The position also supports the agency’s Measurable Outcomes Tracking System (MOTS) reporting and provides training and technical assistance related to the Electronic Client Record (ECR) system.

Education and/ or Experience

• A minimum of a high school diploma or equivalent education is required.

• At least three years of office/administrative experience or an equivalent combination of education and experience is preferred.

• Proficiency in Microsoft Office 365 (Outlook, Word, Excel, PowerPoint, SharePoint, and OneDrive) and internet usage is required.

• Must have reliable transportation, a valid driver’s license, and automobile insurance which meets Options’ requirements.

• Must possess strong verbal and written communication skills, including technical writing abilities.

• Will be required to learn and effectively utilize the Electronic Client Record (ECR) system.

• Options requires that all staff demonstrate a respectful, open, unbiased, and accepting attitude toward clients, their families, and other staff.

Qualifications

• Ability to safeguard protected health information and maintain confidentiality

• Strong attention to detail and accuracy

• Ability to work independently and manage multiple priorities

• Ability to meet deadlines and produce high-quality work

• Strong organizational and problem-solving skills

• Experience in a community mental health or behavioral health setting

Essential Duties and Responsibilities

Credentialing – 40%

• Facilitate credentialing of new hires with all eligible provider panels

• Manage re-credentialing for applicable staff with Coordinated Care Organizations (CCOs) and private panels

• Initiate and support applications for new private panels

• Verify degrees, licenses, certifications, exclusions, and accreditations for credentialed staff

• Maintain staff credentialing records within the Electronic Client Record (ECR) system

• Maintain and update the Credentialing Panel Roster

• Assist staff with CAQH, NPPES, and DMAP enrollment

• Participate in private panel committee meetings and teleconferences

Quality Improvement & Reporting – 40%

• Generate and maintain monthly QI and MOTS reports

• Ensure timely completion, accuracy, and submission of MOTS documentation to the Oregon Health Authority (OHA)

• Review, correct, and follow up on reporting errors identified internally or by OHA

• Analyze and interpret data to support quality improvement initiatives

• Ensure compliance with Oregon Administrative Rules and contractual requirements

• Assist with monitoring and implementation of the agency’s Quality Improvement Plan

• Support audits and compliance reviews as directed

Training, Support, and Collaboration – 20%

• Provide training and technical assistance to staff on ECR usage and documentation compliance

• Collaborate with clinical and administrative teams to improve data accuracy and workflows

• Support staff in meeting documentation and reporting expectations

• Assist with maintaining documentation of QI activities for agency records

• Provide backup support to related administrative or records functions, as needed

Working Conditions

• Office environment, with option for work from home (WFH) hybrid schedule following successful synthesis of required training and onboarding

• Extended periods of computer use and sitting

• High speed internet and confidential workspace required for WFH

• Frequent attention to detail and sustained concentration

• Ability to manage competing priorities and deadlines

• Occasional travel within the state may be required

Salary : $19 - $26