Quality Assurance Auditor - Credentialing About Certify:At CertifyOS, we're building the infrastructure that powers the next generation of provider data products, making healthcare more efficient, accessible, and innovative. Our 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.What sets us apart? Our cutting-edge, API-first, UI-agnostic, end-to-end provider network management platform automates licensing, enrollment, credentialing, and network monitoring like never before. With direct integrations into hundreds of primary sources, we have an unbeatable advantage in enhancing visibility into the entire provider network management process. Plus, 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.But it's not just about the technology; it's about the people behind it. At Certify, we foster a meritocratic environment where every voice is heard, valued, and celebrated. We're founded on the principles of trust, transparency, and accountability, and we're not afraid to challenge the status quo at every turn. We're looking for purpose-driven individuals like you to join us on this exhilarating ride as we redefine healthcare data infrastructure.About the role:We are looking for our next core credentialing team member! You will play an integral part in ensuring the timely and accurate credentialing of healthcare professionals per company, regulatory, and client requirements.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.What you'll do:Build a comprehensive, effective and efficient audit processComplete initial and ongoing quality audits for credentialing applicationsPerform audit reviews in a timely, efficient, and accurate mannerProvide constructive feedback and education to peers and assigned teamsUtilize audit results to identify, document, test the effectiveness of internalprocesses and controls and develop sound conclusionsTrack and trend audit results and notify leadership to administer appropriate team members' education and coaching.What you'll need:2+ years of credentialing, provider data management, auditing or healthcare operations experience1 year credentialing auditing experience or similarProfessional written and verbal communication skillsClose attention to detail and ability to use audit process techniquesKnowledge of NCQA credentialing standards preferredAt Certify, we're 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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