Credentialing Data Analyst - Shp Health Services - Telecommuter - Day Shift - Full Time

Sharp Chula Vista Medical Center

San Diego, CA, United States
Base: $32.730 - $45.810; bonus/equity: not specifi...
On-site
Provider database maintenance
Data integrity and accuracy
Managed care principles
Performs and coordinates credentialing delegation functions for Sharp Health Plan to maintain a quality provider network

Job Summary

  • Performs and coordinates credentialing delegation functions for Sharp Health Plan to maintain a quality provider network.
  • Responsible for the maintenance of the provider database to ensure data integrity, including data accuracy, completeness, and consistency.
  • Develops and performs database queries and abstracts for provider rosters, directories and statistical reporting on a frequent basis.

Matching Summary

Performs and coordinates credentialing delegation functions for Sharp Health Plan to maintain a quality provider network.

Salary

Base: $32.730 - $45.810; Bonus/Equity: Not specified; Benefits: Not specified

Skills & Requirements

Must-have

  • Provider database maintenance
  • Data integrity and accuracy
  • Managed care principles
  • NCQA, DMHC, CMS standards

Nice-to-have

  • Continuous quality improvement
  • Excellent interpersonal skills
  • Teamwork and cooperation

Key Requirements

  • Bachelor's degree in healthcare management or business
  • 2 years' database management experience
  • 3 years' managed care field experience
  • Certified Provider Credentialing Specialist (CPCS) - PREFERRED

Work Rights

Not specified

Tailored Resume

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