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Quality Assurance Auditor
hace 2 meses
Certify is a pioneering healthcare technology company that's revolutionizing provider data infrastructure. Our cutting-edge platform automates licensing, enrollment, credentialing, and network monitoring, making healthcare more efficient, accessible, and innovative.
About the RoleWe're seeking a skilled Quality Assurance Auditor to join our credentialing team. As an early employee, you'll play a crucial role in building infrastructure for a growing team and ensuring the timely and accurate credentialing of healthcare professionals.
Key Responsibilities- Develop and implement a comprehensive audit process to ensure compliance with company, regulatory, and client requirements.
- Conduct initial and ongoing 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, developing sound conclusions and recommendations.
- 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. As an equal opportunity employer, we celebrate diversity and invite applicants from all backgrounds to join our vibrant community.
