Senior Credentialing Representative

Job Summary

A company is looking for a Senior Credentialing Representative.

Key Responsibilities

• Design and complete data analysis projects, providing written reports and documentation of findings
• Conduct audits of the credentialing database to ensure accurate data entry and modifications
• Process credentialing and re-credentialing in accordance with internal policies and NCQA standards

Required Qualifications

• High School Diploma/GED (or higher)
• 1+ years of experience in credentialing or compliance
• Intermediate level of computer literacy in Windows environment with Access and Excel knowledge