Quality Assurance Specialist
hace 1 semana
About the Role: We are seeking a highly skilled Credentialing Auditor to join our team at Certify. As a key member of our credentialing team, you will play a vital role in ensuring the timely and accurate credentialing of healthcare professionals.
Key Responsibilities:
- Develop and implement a comprehensive audit process to ensure compliance with regulatory requirements.
- Conduct initial and ongoing quality audits for credentialing applications, providing constructive feedback and education to peers and assigned teams.
- Analyze audit results to identify areas for improvement and develop recommendations for process enhancements.
- Collaborate with cross-functional teams to develop and implement effective internal controls and processes.
- Track and trend audit results to identify trends and areas for improvement.
Requirements:
- 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.
What We Offer:
- A dynamic and growing team environment.
- Opportunities for professional growth and development.
- A competitive compensation and benefits package.
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