Concentra

Engineer

• Design, implement, and manage complex systems architecture
• Configure, deploy, and maintain server environments
• Monitor system performance and implement optimization strategies
• Implement security protocols and conduct regular audits
• Troubleshoot complex system issues across various platforms
• Create and maintain documentation of system processes
• Collaborate with cross-functional teams for system integration
• Design and implement backup and disaster recovery solutions
• Manage user access and provide support for authentication problems

Engineer III, Systems

Administration

• Serve as support for maintaining and tracking DOT certifications for all physicians, nurse practitioners, and physician assistants.
• Research/validate DOT certification and practice profiles via the National Registry of Certified Medical Examiners (NRCME) website.
• Notification of DOT certification and practice profile status is communicated to the field EAs and tracked for Concentra compliancy through the IntelliCred database
• Serve as support for maintaining and tracking all APC/ATC agreements for compliancy.
• Submits written request to field EAs for APC/ATC agreements for all new hire, annual/biennial renewals and supervising physician changes of Nurse Practitioners, Physician Assistants, and Athletic Trainers.
• Completion of APC agreement requests are tracked and monitored for compliancy through the IntelliCred database
• Facilitate, maintain and track facility credentialing applications for Urgent Care, Physical Therapy, Primary Care and Work Comp payers.
• Includes completion of simple to complex credentialing applications with supporting documents such as local, state, and federal licensures, CLIA certificates, center assessment and services offered questionnaires.
• Credentialing activities are maintained and tracked in the IntelliCred database through various workflows
• Act as the primary liaison to secure needed facility licensures by working with internal licensing department, clinical and operational leaders.
• Conduct internal audits such as facility rosters and various IntelliCred database validations to ensure data integrity
• Launch workflows in the IntelliCred system for Medicare, Group Health and Quality Control and Administration teams for new hires, terms, location updates for clinician Medicare enrollment, external payer credentialing needs, APC Collaborative Agreements and DOT certification compliancy
• Participate in acquisition activities for the department to include but not limited to launching workflows for all teams, updating all internal facility rosters and IntelliCred Group records
• Maintain all departmental administrative tasks such as office supplies, incoming/outgoing mail, Fed Ex, department contact lists, etc.
• Create and maintain internal Facility Listings on shared drive and Groups/Locations in database to include facility demographics, NPIs, legal entity, TIN, Medicare PTAN and billing information utilized by the department and for external Group Health payer needs.
• Prepare various reports such as custom facility listings and provider rosters as requested for internal and external clients
• Track contracts for review and signature by executive leaders.
• Maintain all Group Health payer contract files via electronic and hard-copy file system
• Reconciliation for Internal Credentialing verification charges.
• Obtain receipts for each transaction, validate and allocate the correct billing string for biweekly submission through the Concur expense reporting system

Credentialing Administrator

• Serve as support for maintaining and tracking DOT certifications for all physicians, nurse practitioners, and physician assistants.
• Research/validate DOT certification and practice profiles via the National Registry of Certified Medical Examiners (NRCME) website.
• Notification of DOT certification and practice profile status is communicated to the field EAs and tracked for Concentra compliancy through the IntelliCred database
• Serve as support for maintaining and tracking all APC/ATC agreements for compliancy.
• Submits written request to field EAs for APC/ATC agreements for all new hire, annual/biennial renewals and supervising physician changes of Nurse Practitioners, Physician Assistants, and Athletic Trainers.
• Completion of APC agreement requests are tracked and monitored for compliancy through the IntelliCred database
• Facilitate, maintain and track facility credentialing applications for Urgent Care, Physical Therapy, Primary Care and Work Comp payers.
• Includes completion of simple to complex credentialing applications with supporting documents such as local, state, and federal licensures, CLIA certificates, center assessment and services offered questionnaires.
• Credentialing activities are maintained and tracked in the IntelliCred database through various workflows
• Act as the primary liaison to secure needed facility licensures by working with internal licensing department, clinical and operational leaders.
• Conduct internal audits such as facility rosters and various IntelliCred database validations to ensure data integrity
• Launching workflows in the IntelliCred system for Medicare, Group Health and Quality Control and Administration teams for new hires, terms, location updates for clinician Medicare enrollment, external payer credentialing needs, APC Collaborative Agreements and DOT certification compliancy
• Participate in acquisition activities for the department to include but not limited to launching workflows for all teams, updating all internal facility rosters and IntelliCred Group records
• Maintain all departmental administrative tasks such as office supplies, incoming/outgoing mail, Fed Ex, department contact lists, etc.
• Create and maintain internal Facility Listings on shared drive and Groups/Locations in database to include facility demographics, NPIs, legal entity, TIN, Medicare PTAN and billing information utilized by the department and for external Group Health payer needs.
• Prepare various reports such as custom facility listings and provider rosters as requested for internal and external clients
• Track contracts for review and signature by executive leaders.
• Maintain all Group Health payer contract files via electronic and hard-copy file system
• Reconciliation for Internal Credentialing verification charges.
• Obtain receipts for each transaction, validate and allocate the correct billing string for biweekly submission through the Concur expense reporting system

• Responsible for designing, implementing, and maintaining complex systems architecture
• Responsible for configuring, deploying, and maintaining server environments
• Responsible for monitoring system performance metrics, analyzing data to identify bottlenecks, and implementing optimization strategies
• Responsible for implementing security protocols across systems, conducting regular audits to ensure compliance with security standards, and identifying vulnerabilities
• Responsible for diagnosing and resolving complex system issues across various platforms
• Responsible for creating, maintaining, and updating comprehensive documentation of system processes
• Responsible for collaborating with various teams including software development, network operations, and security
• Responsible for designing, implementing, and maintaining robust backup and disaster recovery solutions
• Responsible for planning, testing, and implementing system upgrades and patches across the IT infrastructure
• Responsible for managing user access to systems and applications

• Day-to-day support for the Contracting and Credentialing teams including launching of team workflows in the IntelliCred database
• Manage and track DOT and APC/ATC certification and compliancy; research/validate DOT certification and practice profiles via the NRCME website
• Serve as support for maintaining and tracking all APC/ATC agreements for compliancy and submit written requests to field EAs
• Facilitate, maintain and track facility credentialing applications for Urgent Care, Physical Therapy, Primary Care and Work Comp payers
• Act as primary liaison to secure needed facility licensures by working with internal licensing department, clinical and operational leaders
• Conduct internal audits such as facility rosters and various IntelliCred database validations to ensure data integrity
• Launching workflows in the IntelliCred system for Medicare, Group Health and Quality Control and Administration teams for new hires, terms, location updates for clinician Medicare enrollment, external payer credentialing needs, APC Collaborative Agreements and DOT certification compliancy
• Participate in acquisition activities for the department to include launching workflows, updating internal facility rosters and IntelliCred Group records
• Maintain departmental administrative tasks such as office supplies, incoming/outgoing mail, Fed Ex, department contact lists
• Create and maintain internal Facility Listings and Groups/Locations in database with facility demographics, NPIs, legal entity, TIN, Medicare PTAN and billing information
• Prepare reports such as custom facility listings and provider rosters for internal and external clients
• Track contracts for review and signature by executive leaders and maintain Group Health payer contract files
• Reconciliation for Internal Credentialing verification charges and biweekly submission through Concur expense reporting system

Human Resources

• Provide Human Resources (HR) support to site level Managers in a geographic region
• Advise and coach on all site level employee relation matters
• Guide and coach Managers on disciplinary process including verbal, written and final Performance Improvement Plans (PIP)
• Assist with preparation of justification and paperwork for recommended terminations and support delivery of disciplinary actions
• Provide support for site level involuntary terminations including obtaining final work hours
• Assist with HR investigations and required supporting documentation
• Respond to HR related inquiries from site level management and employees and counsel on HR policies
• Assist the Human Resources Coordinator with workers’ compensation, leaves of absence, and ADA accommodations
• Oversight of annual engagement survey for leader's geographic region and assist with annual compliance, harassment, and other trainings
• Create and assist leaders with HR essential training and execute corporate and regional initiatives including annual performance review process and calibration sessions
• Follow up on Data Loss Prevention (DLP) incidents and facilitate resolution and ensure HIPAA/IS attestation and HIPAA refresher completion
• Perform other duties as assigned; duties may change with or without notice

Engineer III, Systems

Credentialing Administrator

Credentialing Administrator

Engineer III, Systems

Credentialing Administrator

Human Resources Manager