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TPR Credentialing Specialist
Candidates should have knowledge of NCQA standards, delegated credentialing, and Primary Source Verification. Candidates should have knowledge of health plan credentialing and enrollment including Medicare and Medicaid. Ability to prepare and/or update the provider�s CAQH application for newly affiliated and existing healthcare providers for initial and recredentialing activity. The ability to build and maintain peer-to-peer relationships with all relevant market and national health plans.


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