About the role:

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 you'll 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 you'll 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