Andros

Mission The Mission of the Outreach Specialist is to support the processing of initial credentialing and recredentialing for providers and facilities. As a key contributor, you will ensure communications across omni channels (email, fax, and phone) reach providers and clients timely. Ensuring we remain in compliance with all regulatory standards and turn-around times, you also perform in-depth analysis on these processes to create scalable improvements where needed and participate in special projects as needed. Outcomes - Coordinate and execute omnichannel outreach (email, fax, and phone) - Work closely with the Outreach Manager and Lead , to ensure operational transparency, accountability, and collaboration between groups - Contribute to and reference reporting dashboards and monitoring trends; share actionable insights and make recommendations based on results - Conduct research into issues related to your work; report out to the team - Monitor daily program automations and data processes; troubleshooting when necessary and improving when possible - Offer insights to our product team to advise on product enhancements and adjust workflows to account for andros changing technology; serve as a primary tester and subject matter expert when new products related to your processes are being developed - Take on and build out new processes as we expand our service offerings within the outreach space - Demonstrated ability to deliver in a deadline driven environment in line with associated SLA’s and KPI’s - Independent mindset with proven ability to prioritize workload according to expected outcomes - Ability to follow available resources and apply critical thinking to each task to offer contributions in evolving processes and optimizing tasks Role Specific Competencies - Attention to Detail - You mind the details so nothing slips through the cracks. - Critical Thinking - We’re expecting you to challenge the way we do things and present new ideas for improvement, no matter how small the change is. - Data Driven - you’re well-versed in Google Sheets; bonus points if you have experience manipulating large sets of data. - Communication - You are concise, articulate, and timely in all modes of communications. - Inquisitive - You don’t let a fast pace of work or a complicated process stop you from asking questions and figuring out what is really going on. - Follow-through on Commitments - You live up to verbal and written agreements without fail. - High Standards - You lead by example and expect personal performance and team performance to be nothing short of the best. - Technical proficiency: Jira and Google Suite experience required. Zendesk experience a plus - Credentialing knowledge: credentialing processing and NCQA experience preferred ~$57,000 salary

Mission The mission of this role is to help coordinate and manage our Facilities and Provider credentialing within our Network Management team, its processes, and services. Support a seamless client experience and deliver on all client SLAs - at all times. Provide transparency, communication, and documentation of credentialing processes, workflows, and other artifacts that can be shared internally and with clients. Adhere to, support, and drive quality measures for the overall credentialing operation, both within Andros and client-facing operations, ensuring excellence in service delivery, program health, and compliance adherence. Outcomes - Credentialing Program Execution: - - Verify and maintain licensing, credentials, and insurance records and other PSVs as required - Conduct research on updated state and federal regulations and policies - Help develop internal credentialing processes - Perform duties using our established work systems and methods; maintain our structured workflows to support standardized processes and strive to continuously improve them - Manage and assist in the timely resolution of both internal and external requests - Be responsible for data entry and maintain provider information in Andros’ database - Be responsible for completing provider and facility initial and re-credentialing applications - Quality Assurance of Credentialing: - - Collaborate with immediate and internal teams (Credentialing Manager and team) to build quality metrics: - - Eliminate errors in our work and client deliverables - Reduce waste and re-work - Help build and support a metrics-driven, structured workflow to standardize processes across all clients, while accommodating unique client specifications - Process Improvement & Development: - - Support the process for driving both incremental improvements and the next generation of Credentialing - Continuously build on subject matter knowledge, including role-specific and leadership/facilitation competencies - Increase domain expertise by ensuring all Credentialing activities and artifacts are documented, remain current, and trained to teams appropriately Role-Specific Competencies - Ownership - You own everything in your domain and take responsibility to get results without excuses or blame. You earn trust through being reliable - Communication - You are concise, articulate, and timely in all communications. You listen actively, understand questions (and clarify when unclear), and speak up even when it might be uncomfortable - Problem Solving - You are able to figure out solutions that others may have missed. You are able to work autonomously and as a team player when it comes to tackling issues that seem impossible. You never settle for “good enough”, rather, you operate with a “how can I/we be better?” mentality - Attention to Detail - You mind the details so nothing slips through the cracks - Flexibility/Adaptability - You adjust quickly to changing priorities and conditions. You cope effectively with complexity and change - Follow-through on Commitments - You live up to verbal and written agreements without fail - High Standards - You lead by example and expect personal performance and team performance to be nothing short of the best Qualifications - Familiar with provider credentialing and recredentialing requirements - Strong computer and software skills - Excellent interpersonal skills, including excellent verbal and written communication skills - Ability to demonstrate a high degree of trust and confidentiality - Ability to work independently and assume assigned responsibilities - Skilled in efficiency, organization, time management, and prioritization - Ability to be flexible and function well in a fast-paced environment - Ability to deal with problems involving several concrete variables in standardized situations - Ability to handle confidential information - Minimum 3+ years of provider healthcare credentialing experience (does not include provider enrollment) - Experience with Microsoft Excel, Jira, Google Sheets, and Tableau is a plus Hourly rate of $24.00