The role involves overseeing the complete credentialing and recredentialing processes for healthcare providers while ensuring all documentation is verified
Job Summary
The role involves overseeing the complete credentialing and recredentialing processes for healthcare providers while ensuring all documentation is verified.
Candidates must ensure strict adherence to regulatory standards set by NCQA, state regulations, and JCAHO.
The position requires maintaining up-to-date databases and serving as a primary point of contact for providers regarding credentialing inquiries.
Matching Summary
The role involves overseeing the complete credentialing and recredentialing processes for healthcare providers while ensuring all documentation is verified.
Skills & Requirements
Must-have
5 years healthcare credentialing experience
NCQA and JCAHO regulatory compliance knowledge
Provider licensure and certification verification
Nice-to-have
Excellent organizational skills and attention to detail
Ability to handle sensitive information with discretion
Experience presenting applications to Credentialing Committee
Key Requirements
Minimum 5 years experience in healthcare credentialing
Bachelor's degree in healthcare administration or related field
Certified Professional Credentialing Specialist (CPCS) preferred