Quality Assurance Specialist

hace 1 semana


Guadalajara, Guadalajara, España Certify A tiempo completo

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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