Remote Health Care Specialist

Job Summary

A company is looking for a Remote Medical Staff Services Health Care Specialist.

Key Responsibilities

• Coordinate provider enrollment and maintain accurate records in the credentialing database
• Facilitate communication between department personnel, health plans, and manage enrollment audits
• Prepare status reports and assist with delegation oversight audits and process improvements

Required Qualifications

• Bachelor's Degree in a health care related field or equivalent work experience
• Minimum of five (5) years of experience in health plan/health care administration
• Preferred experience in health plan Provider Relations or Managed Care Enrollment
• Knowledge of NCQA standards and experience with credentialing databases
• Advanced experience in MS Office Suite products preferred