Quality Assurance Auditor

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 internal processes 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 preferred
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