Description
General Summary of Position
Coordinates, monitors, and maintains the credentialing/recredentialing activities of all practitioners and facilities/organization providers in accordance with established credentialing standards set forth by the National Committee for Quality Assurance (NCQA) and state/federal regulatory body. We recruit, retain, and advance associates with diverse backgrounds, skills, and talents equitably at all levels.
Primary Duties and Responsibilities
Minimum Qualifications
Education
- Associate's degree required or
- High School Diploma or GED equivalent plus an equivalent combination of education and related experience required and
- Bachelor's degree in Business or Healthcare Administration preferred
Experience
- 1-2 years 2 years credentialing experience in managed care, governmental credentialing, payor relations or provider relations including experience working for an HMO, PPO or MCO plan. required or
Licenses and Certifications
- No special certification, registration or licensure required. required
Knowledge, Skills, and Abilities
- Excellent verbal and written communication skills.
- Strong organizational, interpersonal, and critical thinking skills.
- Ability to analyze and evaluate credentialing data.
- Must be able to multi-task and pay meticulous attention to detail.
- Proficient in Microsoft Office applications (Word, Excel, Outlook, and PowerPoint).
- Credentialing software experience required.
This position has a hiring range of $23.19 - $40.61
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