- Climate, Health and Equity
- Public Health Under Threat
- COVID-19
- Racial Equity
- Environmental Health
- Gun Violence
- Health Equity
- All Topics and Issues
- Vaccines
- American Journal of Public Health
- The Nation's Health
- Books
- Fact Sheets
- Reports and Issue Briefs
- Advertising
- Public Health Buyers Guide
- Publications Contacts
Career Center
Washington, D.C.
Nashville, Tennessee
Chicago, Illinois
Posted: 08-Mar-25
Location: Irving, Texas
Categories:
Internal Number: 257954
Summary:
Responsible for auditing all complete credentialing applications and to build sound, effective and efficient audit processes.
Responsibilities:
? Coordinate and execute credentialing audits by analyzing provider files for completeness, accuracy, consistency, gaps in employment history, pertinent references, etc.
? Prepare credentialing audit reports and assist in the development of staff training guides, policies, and procedures.
? Manages multiple concurrent audits, plan audits, and related projects while ensuring that all audit tools meet NCQA, TJC, and CMS requirements.
? Responsible for educating and re-educating Associates.
? Maintains strict confidentiality over all information and data.
? Completes as-assigned miscellaneous work-related tasks.
? Consistently meets weekly performance metrics.
? Monitors the Credentialing Coordinators' quality metrics and identifies areas for improvement.
Job Requirements:
- Bachelor's Degree preferred
- High School or equivalent required
- 3 years of experience in medical staff and/or managed care credentialing preferred
- Certified Provider Credentialing Specialist (CPCS) preferred
Work Schedule:
TBD
Work Type:
Full Time
EEO is the law - click below for more information:
https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12ScreenRdr.pdf
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at (844) 257-6925.
