Quality Assurance Auditor
hace 2 semanas
Certify is revolutionizing healthcare data infrastructure with a cutting-edge, API-first platform that automates provider network management. Our team brings over 25+ years of combined experience building provider data systems at Oscar Health, and we're backed by top-tier VC firms.
We foster a meritocratic environment where every voice is heard, valued, and celebrated. Our principles of trust, transparency, and accountability drive us to challenge the status quo at every turn.
We're seeking a skilled Credentialing Specialist to join our core team. As an early employee, you'll have significant responsibility in building infrastructure for a growing team. This is a fully remote role and will report to the Associate Director of Credentialing.
Key Responsibilities:
- Build a comprehensive 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
Requirements:
- 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
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