Employer Industry: Healthcare Services

Why consider this job opportunity:
- Comprehensive benefits package including affordable medical, dental, and vision insurance options
- Generous paid time-off program and paid holidays for full-time staff
- Access to TeleDoc 24/7/365 for medical consultations
- 401K retirement accounts with company match
- Supportive and collaborative work environment with opportunities for professional growth
- Employee Referral Bonus Program

What to Expect (Job Responsibilities):
- Ensure all contracted providers meet qualifications to provide care by reviewing and verifying credentials
- Maintain and update provider credentialing information within the system
- Ensure compliance with regulatory requirements and NCQA standards
- Contact providers to obtain missing or incorrect documentation and follow up as necessary
- Assist with the facilitation of the Credentialing Committee approval and denial notification process

What is Required (Qualifications):
- High school diploma or equivalent required; post-secondary education preferred
- Previous experience in the healthcare field required
- Prior credentialing experience required
- Proficient computer skills and ability to enter data accurately
- Ability to prioritize and manage multiple tasks effectively

How to Stand Out (Preferred Qualifications):
- Prior experience in network services data management
- Experience with Medicare Advantage plans

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