Employer Industry: Healthcare Services

Why consider this job opportunity:
- Competitive salary with the opportunity to participate in the company’s bonus program
- Comprehensive medical, dental, vision, and life insurance benefits
- Flexible paid leave and vacation policy
- Opportunity to work in a dynamic, fast-paced, and innovative care management company
- Chance to make a positive impact on patient care and health outcomes

What to Expect (Job Responsibilities):
- Review and process internal credentialing applications for healthcare providers, ensuring accuracy and completeness of information
- Communicate clearly with providers, healthcare leadership, and administrative staff regarding credentialing issues
- Verify provider credentials including licenses, certifications, and education through various methods
- Maintain detailed and up-to-date provider credentialing and verification records in compliance with regulatory standards
- Support management with administrative components of credentialing committees, including meeting coordination and documentation

What is Required (Qualifications):
- Bachelor's Degree preferred
- 3-5 years of experience in credentialing or a related field required
- Proficiency in Microsoft Office applications (e.g., Word, Excel, PowerPoint)
- Knowledge of Medicaid and/or Medicare credentialing requirements
- Excellent verbal and written communication skills

How to Stand Out (Preferred Qualifications):
- Familiarity with NCQA accreditation credentialing survey requirements
- Ability to research data and draw conclusions effectively
- Experience in a large health plan credentialing department or clinical organization
- Strong organizational skills and ability to manage multiple time-sensitive deliverables

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