Employer Industry: Insurance and Benefits Services

Why consider this job opportunity:
- Salary range from $60,000 to $75,000, with the potential for an annual incentive plan based on performance
- Outstanding and affordable benefits package, including PTO from the date of hire and 11 paid holidays
- 401(k) with up to 6% match, fully vested from day one
- Remote work opportunities with company-provided equipment
- Career advancement opportunities and support for personal and professional development
- Engaging and inclusive company culture that values diversity

What to Expect (Job Responsibilities):
- Supervise daily tasks of the Provider Data Maintenance & Credentialing Specialist I and monitor team workflow
- Research, plan, and prepare departmental reports to ensure data accuracy and compliance with NCQA protocols
- Collaborate with internal and external auditors, following up on recommended actions
- Prepare performance reviews and administrative documentation, providing feedback to staff as necessary
- Facilitate mailings associated with re-credentialing to meet NCQA timeliness guidelines

What is Required (Qualifications):
- Bachelor’s Degree or related experience
- 3 to 5 years of provider data maintenance and credentialing experience
- Minimum of 1 year of management or leadership experience
- Knowledge of CVOs and NCQA Credentialing Guidelines
- Advanced MS Office skills, particularly in Excel

How to Stand Out (Preferred Qualifications):
- 3 years of experience as a Credentialing Specialist II
- Membership in the National Association of Medical Staff Services
- Certification as a Provider Credentialing Specialist (CPCS®)

#Insurance #Credentialing #RemoteWork #CareerAdvancement #DiversityAndInclusion

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