Quality Assurance Specialist
hace 22 horas
Certify is a pioneering healthcare technology company that's revolutionizing provider data infrastructure. Our mission is to create a seamless, efficient, and innovative healthcare ecosystem. We're committed to fostering a meritocratic environment where every voice is heard, valued, and celebrated.
About the RoleWe're seeking a highly skilled Quality Assurance Auditor to join our core credentialing team. As an early employee, you'll play a pivotal role in building infrastructure for a growing team. This is a fully remote role that will report to the Associate Director of Credentialing.
Key Responsibilities- Develop and implement a comprehensive audit process to ensure timely and accurate credentialing of healthcare professionals.
- Perform quality audits for credentialing applications, providing constructive feedback and education to peers and assigned teams.
- Utilize audit results to identify, document, and test the effectiveness of internal processes and controls.
- Track and trend audit results, notifying leadership to administer appropriate team members' education and coaching.
- 2+ years of experience in credentialing, provider data management, auditing, or healthcare operations.
- 1 year of 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.
Certify is committed to creating an inclusive workplace where everyone feels valued and supported. We offer a dynamic and challenging environment that's perfect for purpose-driven individuals who want to make a meaningful impact in the healthcare industry.
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