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Job Description

The position duties are related to Credentialing Compliance, including internal and external audits, accreditation surveys, on-site audit liaison, sanction monitoring, sub-delegation oversight, reporting, appropriate documentation, projects, team support, etc.

The Credentialing Compliance team coordinates with and assists the larger Credentialing team to ensure we meet regulatory, state, federal, accreditation and payor standards and requirements.

Position responsibility highlights:

Perform ongoing monitoring of sanctions, prepare credentialing reports, conduct delegation oversight of sub-delegated entities, support internal/external audit and survey processes, on-site audit liaison when needed, prepare Credentialing Committee deliverables, provide team support, respond to inquiries, projects and other duties as assigned.

"Seeking the right fit for the team. Healthcare credentialing background strongly preferred. However, willing to train the right candidate."

We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to [email protected] learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.

Skills and Requirements

- High School Diploma or GED

- Proficient in MS Office (Excel especially)

- Experience in credentialling

- Strong verbal/written communication skills, positive attitude, willingness to learn, reliability, self-management, works well with team.

- Ability to prioritize and work in a fast-paced environment. - CPCS (Certified Provider Credentialing Specialist) Certification

- Healthcare background