Quality Assurance Auditor
hace 21 horas
Certify is a pioneering healthcare technology company that's revolutionizing the way provider data is managed. Our cutting-edge platform is the ultimate source of truth for provider data, offering unparalleled ease and trust while making data easily accessible and actionable for the entire healthcare ecosystem.
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 who share our bold vision of creating a one-of-a-kind healthcare cloud that eliminates friction surrounding provider data.
About the RoleWe're seeking a highly skilled Quality Assurance Auditor to join our core credentialing team. As an early employee, you will have significant responsibility in helping to build 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, effective, and efficient 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, and develop sound conclusions
- Track and trend audit results and notify leadership to administer appropriate team members' education and coaching
- 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
- Closely 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 warmly invite applicants from all backgrounds to join our vibrant community.
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