Lead Analyst – Credentialing

AnalystAnalystFull TimeRemoteSeniorTeam 10,001+Since 1982H1B No SponsorCompany SiteLinkedIn

Location

Alabama + 17 moreAll locations: Alabama, Alaska, Arizona, Florida, Hawaii, Idaho, Iowa, Kansas, Nebraska, Ohio, Maryland, Massachusetts, Michigan, Pennsylvania, Texas, Utah, Vermont, Washington

Posted

1 day ago

Salary

$55.7K - $92.8K / year

Seniority

Senior

Bachelor Degree3 yrs expEnglish

Job Description

• Perform the daily tasks of delegation oversight • Conduct practitioner/provider group credentialing audits • Negotiate and manage delegation contractual agreements • Be a key contributor for internal and external organization audits • Analyze and manage delegated provider data • Maintain working knowledge of regulatory credentialing requirements • Collaborate effectively with delegated groups and other matrix partners • Provide support and act as a subject matter expert for various projects • Perform other related duties as assigned.

Job Requirements

  • Bachelor's degree or higher strongly preferred or equivalent work experience required
  • 3+ years of credentialing and/or auditing experience required
  • Knowledge of NCQA and Medicare standards
  • Proficient in Microsoft Access, Excel, Outlook, PowerPoint and Word
  • Strong analytical and problem-solving skills
  • Excellent communication, collaboration, interpersonal and organizational skills
  • Ability to work effectively, both independently and/or in a group setting
  • Ability to effectively coordinate and manage multiple projects and prioritize work in a fast-paced environment
  • Ability to perform work with minimal supervision while achieving desired outcome
  • Minimal travel may be required for audits.

Benefits

  • medical insurance
  • vision insurance
  • dental insurance
  • well-being and behavioral health programs
  • 401(k)
  • company paid life insurance
  • tuition reimbursement
  • a minimum of 18 days of paid time off per year
  • paid holidays

Related Categories

Related Job Pages

More Analyst Jobs

Zeta Global logo

Principal Analyst, Email Deliverability

Zeta Global

We deliver better experiences for consumers and better results for your brand.

Analyst1 day ago
Full TimeRemoteTeam 1,001-5,000Since 2007H1B Sponsor

Principal Analyst improving email deliverability for Zeta Global clients

DNSSMTPGo
New York
$100K - $110K / year
Sentara Health logo

IT Analyst

Sentara Health

Sentara Virginia Beach General Hospital, located in Virginia Beach, VA, is home to the region’s only Level III Trauma Center. Our 273-bed facility has a long history of commitment to our communities of Virginia Beach, Eastern Shore, and Northeastern North Carolina, offering specialized tertiary services as well as many advanced clinical services. Recognized accredited Primary Stroke Center. Magnet hospital for nursing excellence. Specializes in heart, vascular, neuroscience, neurosurgery, orthopedics and spine care, cancer care, advanced imaging, and behavioral health. Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. In support of our mission “to improve health every day,” this is a tobacco-free environment. For positions that are available as remote work, Sentara Health employs associates in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.

Analyst1 day ago
Full TimeRemoteTeam 10,001+Since 1890H1B No Sponsor

The IT Analyst supports daily operations and optimization of enterprise applications, focusing on IT Shared Services, assisting with resource planning, data analysis, and developing leadership reports. Responsibilities include supporting application builds, upgrades, enhancements, managing incidents/problems/changes, and executing test plans for system updates.

ExcelPowerPointdata analysisenterprise applicationsbusiness requirementsworkflow analysisincident managementproblem managementchange managementtest plansWorkdayITILreportingdocumentation
United States
Aqua Finance, Inc. logo

Funding Analyst

Aqua Finance, Inc.

Aqua provides flexible financing programs to dealers, contractors, and retailers so families can realize their dreams.

Analyst1 day ago
Full TimeRemoteTeam 201-500Since 1985H1B No Sponsor

Funding Analyst responsible for auditing documents in financing programs

United States
Crumdale Specialty logo

Eligibility & Configuration Analyst

Crumdale Specialty

Innovative Insurance Solutions. Better Benefits.

Analyst1 day ago
Full TimeRemoteTeam 51-200Since 2014H1B No Sponsor

Eligibility & Configuration Analyst leading eligibility operations at Crumdale Specialty

VBA
Pennsylvania