Maintains functional familiarity with all components of NCCHCA’s provider data management software system.
Primarily responsible for all data entry and maintenance related to NCCHCA’s provider data management software system.
Assists NCCHCA staff with the establishment and implementation of policies, procedures, work flows and best practices associated with credentialing services and enrollment activities.
Corresponds with health center staff for timely data collection to meet credentialing and enrollment related deadlines.
Participates in NCCCHCA strategic discussions on the implementation and expansion of credentialing services.
Coordinates the collection and implementation of health center feedback on the development of NCCHCA’s credentialing services.
Maintains the collection and submission of all provider-related data, as relevant to NCCHCA’s credentialing software, and as requested by NCCHCA funders, member health centers, and other third parties.
Assists the Network Development Manager in the facilitating the FQHC Credentialing & Enrollment Advisory Committee.
Assists with special projects and support within other areas of CMHN and NCCHCA as instructed by the Network Development Manager.
Bachelor’s Degree plus 1 year of relevant experience required, or Associate’s Degree plus 4 years non-profit or community health center administrative experience may substitute for BA degree requirement.
One (1) year experience providing credentialing services and/or support required. NAMMSS CPSC Certified and/or 2 years of experience preferred.
Competence in Microsoft Office applications, particularly Word and Excel.
Familiarity with commercial and other third party contracting preferred.
Experience with Vistar Technology’s eVIPS credentialing software suite preferred.
Excellent written/verbal communication and problem solving skills.
Experience and/or familiarity with Community Health Centers and or safety-net primary care providers preferred.
Willing to travel to and work at off-site events and conferences, as requested.
About North Carolina Community Health Center Association
NCCHCA is the HRSA funded state Primary Care Association (PCA). The non-profit, consumer-governed Federally Qualified Health Centers (FQHCs) we represent provide integrated medical, dental, pharmacy, behavioral health, and enabling services to nearly one-half million patients in North Carolina. FQHCs receive federal assistance to provide sliding-fee services to assure no one is denied access to ca...re. NCCHCA represents FQHCs to state and federal officials and provides training and technical assistance on clinical, operational, financial, administrative, and governance issues.
NCCHCA is the sponsor and managing partner of the Carolina Medical Home Network (CMHN) sub-corporations. CMHN serves as the clinical and operational performance improvement organization of NCCHCA and member health centers. CMHN is a 33 member HRSA funded Health Center Controlled Network (HCCN) currently in the second three-year grant cycle. All members are NC health centers. CMHN provides its members with data analytics, quality improvement, and Health Information Exchange connectivity to improve cost, quality, and outcomes of care.
Carolina Medical Home Network – Accountable Care Organization (CMHN-ACO) is a partnership of 6 NC health centers that have entered into the Medicare Managed Care Shared Savings Program, currently in Program Year 3.
Carolina Medical Home Network – Independent Practice Association (CMHN-IPA) is a network of 31 NC health centers striving towards clinical integration with the goal of leveraging size, scope and coordinated performance improvement in third-party payer negotiations. CMHN-ACO serves as the pilot for identification of population health strategies to scale up to the larger CMHN-IPA network.