Cred & Licensing Integration Project Lead

Radia•Lynnwood, WA

67d•$29 - $44•Remote

About The Position

The ideal candidate will provide consistent, accurate, and timely provider credentialing and licensing support for the professional services corporation, enhancing the company s ability to provide professional services to patients at multiple hospital and clinic locations. Provide insight to credentialing leadership on the integration of credentialing with Radia s Operations Center processes and procedures.

Requirements

High school diploma or equivalent.
Minimum of 5 years of progressive experience in credentialing, licensing, or medical staff services.
Demonstrated experience leading projects or initiatives involving process improvement, data integrity, or operational compliance.
Experience with The Joint Commission and NCQA accreditation standards required.
Credentialing certification (CPCS and/or CPMSM) - required
Certified Associate in Project Management (CAPM) required or obtained within 2 years of hire.
Excellent verbal and written communication skills.

Nice To Haves

Knowledge, or acquisition, of medical credentialing and privileging procedures and standards and Out of State Medical Board Licensure application process, preferred.
Lean Six Sigma is preferred

Responsibilities

Lead cross-functional projects to enhance process efficiency, data accuracy, and regulatory compliance within the Credentialing and Licensing Department.
Develop, implement, and monitor the department s Monthly QA Program to maintain quality and compliance standards.
Prepare and present KPI and Quality Reports (Monthly/Quarterly) with performance analysis and actionable insights.
Collaborate with leadership to define departmental goals, benchmarks, and strategic alignment with corporate objectives.
Conduct root cause analyses for process or quality issues; recommend and implement corrective actions.
Ensure proper document organization and audit readiness through standardized naming conventions and folder structures.
Facilitate Value Stream Mapping (VSM) sessions to identify inefficiencies and drive workflow improvements.
Partner with IT and Operations on system testing, implementation, and optimization of credentialing software.
Support the creation and maintenance of departmental policies, procedures, and job aids in line with regulatory requirements.
Mentor and train staff on systems, processes, and compliance standards to promote professional development.
Proactively identify risks, bottlenecks, and performance barriers , providing timely solutions.
Foster a culture of collaboration, communication, and continuous improvement to achieve departmental goals.