Credentialing QC Analyst

Job Summary

A company is looking for a Provider Credentialing - QC Analyst.

Key Responsibilities

• Assist in the preparation of deliverables for payer and internal audit requests
• Conduct ongoing monitoring to evaluate levels of regulatory credentialing and compliance
• Participate in the development and implementation of quality improvement activities

Required Qualifications

• Bachelor's Degree required
• 3+ years of healthcare or health plan experience in credentialing compliance and quality assurance
• Proficient in Microsoft Office Applications, especially Excel
• 2+ years of experience with primary source documentation review for healthcare credentials
• Experience in auditing and data analysis