We are looking for our next core credentialing team member! You will play an integral part in ensuring the timely and accurate credentialing of healthcare professionals per company, regulatory, and client requirements.As an early employee, you will have significant responsibility in helping to build infrastructure for a growing team. This is a fully remote role and will report to the Associate Director of Credentialing.
What youll do:
Build a comprehensive, effective and efficient audit process
Complete initial and ongoing quality audits for credentialing applications
Perform audit reviews in a timely, efficient, and accurate manner
Provide constructive feedback and education to peers and assigned teams
Utilize audit results to identify, document, test the effectiveness of internal
processes and controls and develop sound conclusions
Track and trend audit results and notify leadership to administer appropriate team members education and coaching.
What youll need:
2+ years of credentialing, provider data management, auditing or healthcare operations experience
1 year credentialing auditing experience or similar
Professional written and verbal communication skills
Close attention to detail and ability to use audit process techniques
Knowledge of NCQA credentialing standards preferred
