Quality Assurance Auditor

hace 2 semanas


Guadalajara, Guadalajara, España Certify A tiempo completo
About Certify:

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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