Symplr Provider Credentialing Software Implementation Consultant

Job Description

Job Profile: We are looking for an experienced Symplr Provider Credentialing Software Implementation Specialist with a strong background in Provider Data Management to join our healthcare solutions team. In this role, you will be responsible for leading the implementation of Symplrs credentialing software for healthcare organizations, ensuring that provider data is accurate, compliant, and streamlined. You will work closely with healthcare providers, facilities, and other stakeholders to optimize the credentialing process, manage provider data effectively, and ensure compliance with regulatory standards. Key Responsibilities Implementation & Configuration of Symplr Credentialing Software: Lead the full lifecycle of Symplr credentialing software implementations for healthcare organizations, ensuring alignment with the client's credentialing workflows and regulatory requirements Configure and customize the Symplr platform to meet the specific credentialing needs of healthcare providers, networks, or facilities Collaborate with clients to understand their credentialing processes, data management practices, and regulatory requirements to configure the software accordingly Manage software integration with existing hospital systems, EMR platforms, and third-party databases, ensuring seamless data flow. Provider Data Management Oversee the management of provider data within Symplr, ensuring that provider profiles are complete, accurate, and in compliance with healthcare regulations (e.g., NCQA, CMS, state-specific requirements) Maintain up-to-date provider data in Symplr, performing regular audits, quality checks, and data validations to ensure consistency and compliance with industry standards Implement best practices for data governance, ensuring that sensitive provider information is managed securely and according to healthcare privacy standards (HIPAA) Troubleshoot and resolve data issues, including missing or outdated provider information, and ensure that data errors are corrected promptly Training & Support Provide in-depth training to healthcare clients on the use of Symplr Credentialing software, including provider data management, credentialing workflows, and system functionality Offer ongoing post-implementation support to healthcare clients, troubleshooting any software or data issues and assisting with system updates and enhancements Develop and maintain user ocumentation, training materials, and FAQs to support the clients use of Symplrs credentialing system Regulatory Compliance & Best Practices Stay informed about changes in healthcare regulations related to provider credentialing (e.g., NCQA, CMS, URAC, state licensing) and ensure that Symplr’s credentialing solutions remain compliant Advise clients on best practices for credentialing and provider data management, including strategies for reducing administrative burdens and improving efficiency Ensure compliance with accreditation standards and assist clients in meeting accreditation requirements (e.g., NCQA, The Joint Commission) Client Relationship Management Act as the primary point of contact for healthcare organizations during the implementation process, ensuring clear communication and effective project management Build and maintain strong relationships with clients by understanding their unique credentialing and data management needs and delivering tailored solutions Communicate effectively with key stakeholders, including clinical leadership, credentialing teams, and IT departments, to ensure the success of the implementation Continuous Improvement & Process Optimization Monitor the performance of credentialing software post-implementation, identifying opportunities to optimize workflows, increase automation, and reduce manual interventions Collaborate with product development teams to provide feedback on software features and enhancements based on client needs and industry trends Identify and recommend process improvements to enhance the credentialing and provider data management experience for healthcare organizations Qualifications Experience: Experience and strong knowledge/background Implementing the Symplr Provider Data Management Module Minimum of 3-5 years of experience in healthcare provider credentialing, credentialing software implementation, or healthcare data management Proven experience working with Symplr Provider Credentialing software Strong understanding of healthcare provider data management practices, including provider enrollment, credentialing, recredentialing, and ongoing monitoring Skills & Knowledge In-depth knowledge of healthcare credentialing regulations, including NCQA, URAC, CMS, and state-specific credentialing requirements Experience with data migration, integration, and data quality management, particularly in the context of provider data Familiarity with healthcare IT systems, databases, and integration methods, including EMR and other clinical systems Proficiency with Microsoft Office Suite (Excel, Word, PowerPoint) and credentialing software Strong analytical and problem-solving skills, with the ability to troubleshoot data discrepancies and issues Certification in healthcare credentialing (e.g., CPCS, CPMSM) is highly desirable but not required Preferred Qualifications Experience in a consulting or project management role within a healthcare organization. Knowledge of other credentialing software systems or healthcare compliance tools. Familiarity with healthcare compliance frameworks and accreditation bodies (e.g., NCQA, The Joint Commission) Key Competencies Attention to Detail: Precision in managing provider data and ensuring compliance with healthcare standards Communication Skills: Ability to effectively convey complex credentialing concepts and data management processes to both technical and non-technical stakeholders Client-Focused: Ability to understand the unique needs of healthcare clients and deliver solutions that improve operational efficiency and compliance Project Management: Strong organizational skills, with the ability to manage multiple implementations and deadlines simultaneously Problem-Solving: Ability to identify issues within credentialing workflows or data and implement effective solutions.