Remote Provider Credentialing Analyst
A-Line Staffing is now hiring a Remote Provider Credentialing Analyst. This position is with a Fortune 500 company and offers career growth potential. This would be a full-time / 40+ hours per week opportunity.

If you are interested in this Provider Credentialing Analyst position, please contact Austin Faris at 586-710-7941 586-710-7941 or afaris@alinestaffing.com

Compensation:

• The pay for this position is $22.54 per hour
• Benefits are available to full-time employees after 90 days of employment
• A 401(k) with a company match is available for full-time employees with 1 year of service on our eligibility dates

Highlights:

• This position is a contract assignment with the potential to hire on permanently based on attendance, performance, and business needs
• The required availability for this position is 8:00 AM - 4:30 PM (flexible start time, based on time zone)
• Training hours are 9:00 AM - 5:00 PM EST for approximately two weeks

Responsibilities:

• Assist in preparing deliverables for payer and internal audit requests
• Perform credentialing business process functions as needed, including scheduled and random credentialing file audits
• Conduct ongoing monitoring to evaluate regulatory credentialing and delegated payer compliance with contractual requirements
• Review risk assessments, monitor ongoing compliance, and identify areas for process improvement
• Participate in the development and implementation of quality improvement activities
• Analyze data, create spreadsheets, and identify trends for reporting
• Maintain positive relationships with internal and external customers
• Exhibit professionalism and CVS Heart at Work Behaviors
• Work independently and manage time effectively in a remote work environment

Requirements:

• Bachelor’s Degree (Required)
• 3+ years of related healthcare or health plan experience in credentialing compliance, auditing, and quality assurance
• 2+ years of experience with NCQA compliance
• 1+ year of MDStaff experience (Preferred)
• Proficient in Microsoft Office Applications: Excel, Outlook, Word, and Teams
• Ability to independently create and format Excel spreadsheets
• Strong attention to detail and ability to multi-task in a fast-paced environment
• Effective communication skills and experience creating reports to identify trends
• Ability to combine and create documents using Adobe Acrobat
• Must be comfortable working remotely with independent time management skills

If you think this Remote Provider Credentialing Analyst position is a good fit for you, please reach out to me – feel free to call, email, or apply to this posting!