Oscar
Award-winning recruitment consultancy; delivering talent across Tech, Digital, Life-Sciences, Energy & Construction
Senior Analyst, Credentialing Operations
Location
United States
Posted
5 days ago
Salary
$61.9K - $81.2K / year
2 yrs expEnglish
Job Description
• Maintain existing and incoming provider information to ensure accuracy and quality of the network by supporting complex non-standard provider information processing needs.
• Assist with administrative process improvements to enhance productivity
• Provide ongoing training and support to Credentialing Operations team members
• Conduct Primary Source Verification (PSV) and validate practitioner and facility credentials in compliance with NCQA standards
• Support employees on the team of all levels through escalation research and resolution
• Effectively communicate findings and resolutions with providers and internal departments inclusive of collaboration with cross-functional stakeholders
• Manage queue work and assigned caseload through effective dashboard management while ensuring integrity of information entered into company and external systems. Support junior employees in queue management and prioritization.
• Compliance with all applicable laws and regulations
• Other duties as assigned
Job Requirements
- 2+ years of credentialing experience, both individual practitioner and facility, adhering to NCQA standards
- 2+ years of intermediate Excel/Google Sheet proficiency
- 2+ years of assessing and comprehending end to end process impact
- 2+ years experience resolving credentialing problems
- 2+ years of inventory management queue experience
Benefits
- Employee benefits
- Participation in Oscar's unlimited vacation program
- Annual performance bonuses