QC Analyst- Credentialing compliance 100% REMOTE
QC Analyst- Credentialing compliance
100% REMOTE
Pay rate: $23.50/hr W2
6 months contract
Remote but EST timezone
Client is seeking an analyst experienced in health care or health plan compliance monitoring and auditing to join our Credentialing and Payer Delegation team. This position supports the credentialing compliance monitoring program activities, auditing, data collection, trend analysis and meeting timeliness for delegated payer deliverables.
ā¢ Assists in the preparation of deliverables for payer and internal audit requests
ā¢ Assist with credentialing tasks as needed
ā¢ Building and maintaining effective, positive internal and external customer relationships
ā¢ Conducting ongoing monitoring to evaluate levels of regulatory credentialing and delegated payer compliance with contractual and requirements
ā¢ Exhibiting *** Heart at Work Behaviors
ā¢ Participating in team initiatives and projects and meeting deadlines and quality expectations
ā¢ Participates in the development and ongoing implementation of quality improvement activities. Improve quality products and services, by using measurements and analysis to process, evaluate and make recommendations to meet QM compliance objectives
ā¢ Performing credentialing business process functions as needed, performing scheduled and random credentialing file audits
ā¢ Reviewing risk assessments while participating in ongoing monitoring and annual program evaluation and identification of areas where there can be process improvement
Experience:
3+ years of related health care or health plan experience in credentialing compliance,
auditing, and quality assurance
Proficient in Microsoft Office Applications; Excel, Outlook, Word, and Teams
The ability to create spreadsheets, analyze data and identify trends.
Strong attention to detail and the ability to multi-task in a fast-paced environment
MDStaff experience is preferred
Remote
About the Company:
Veterans Sourcing Group
100% REMOTE
Pay rate: $23.50/hr W2
6 months contract
Remote but EST timezone
Client is seeking an analyst experienced in health care or health plan compliance monitoring and auditing to join our Credentialing and Payer Delegation team. This position supports the credentialing compliance monitoring program activities, auditing, data collection, trend analysis and meeting timeliness for delegated payer deliverables.
ā¢ Assists in the preparation of deliverables for payer and internal audit requests
ā¢ Assist with credentialing tasks as needed
ā¢ Building and maintaining effective, positive internal and external customer relationships
ā¢ Conducting ongoing monitoring to evaluate levels of regulatory credentialing and delegated payer compliance with contractual and requirements
ā¢ Exhibiting *** Heart at Work Behaviors
ā¢ Participating in team initiatives and projects and meeting deadlines and quality expectations
ā¢ Participates in the development and ongoing implementation of quality improvement activities. Improve quality products and services, by using measurements and analysis to process, evaluate and make recommendations to meet QM compliance objectives
ā¢ Performing credentialing business process functions as needed, performing scheduled and random credentialing file audits
ā¢ Reviewing risk assessments while participating in ongoing monitoring and annual program evaluation and identification of areas where there can be process improvement
Experience:
3+ years of related health care or health plan experience in credentialing compliance,
auditing, and quality assurance
Proficient in Microsoft Office Applications; Excel, Outlook, Word, and Teams
The ability to create spreadsheets, analyze data and identify trends.
Strong attention to detail and the ability to multi-task in a fast-paced environment
MDStaff experience is preferred
Remote
About the Company:
Veterans Sourcing Group