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Posted 14 days ago
Requirements and responsibilities
Job Title: Provider Credentialing Analyst
Duration: 4 plus month with possible extension
Location: Fully Remote
Pay Range: $20-$24.00/hr
• Assists in the preparation of deliverables for payer and internal audit requests
• Assist with credentialing tasks as needed
• Conducting ongoing monitoring to evaluate levels of regulatory credentialing and delegated payer compliance with contractual and requirements
• Participates in the development and ongoing implementation of quality improvement activities.
Improve quality products and services, by using measurements and analysis to process, evaluate and make recommendations to meet QM compliance objectives
• Performing credentialing business process functions as needed, performing scheduled and random credentialing file audits
• Reviewing risk assessments while participating in ongoing monitoring and annual program evaluation and identification of areas where there can be process improvement
• Creating spreadsheets with formulas to track and trend data
• Developing and maintaining an in-depth working knowledge of contractual, regulatory, and program policy related obligations.
Experience:
-3+ years of related health care or health plan experience in credentialing compliance, auditing, and quality assurance
-Proficient in Microsoft Office Applications; Excel, Outlook, Word, and Teams
-The ability to create spreadsheets, analyze data and identify trends.
-Strong attention to detail and the ability to multi-task in a fast-paced environment
-MDStaff experience is preferred
Mon-Fri 8:30a-5p EST. Also, provide training hours Mon-Fri 9:30a EST to 4p EST
Education:
-Bachelor’s Degree (preferred)