compliance officer Remote
Job description
Responsibilities:
- Manage the credentialing process for healthcare providers within a managed care organization
- Ensure all necessary documentation and information is collected and maintained for each provider
- Verify provider credentials, including education, training, licensure, and certifications
- Conduct background checks and review disciplinary actions or malpractice claims
- Communicate with providers to request additional information or clarification as needed
- Collaborate with internal departments to ensure timely completion of credentialing process
- Maintain accurate and up-to-date provider information in the credentialing database
- Monitor and track expiring credentials and initiate the recredentialing process
Qualifications:
- Bachelor's degree in healthcare administration or related field preferred
-Ability to work long hours
-Disability accommodations will be made.
- Previous experience in credentialing within a managed care setting is highly desirable
- Knowledge of credentialing standards and regulations, such as NCQA or Joint Commission
- Strong attention to detail and ability to analyze complex information
- Excellent organizational and time management skills
- Effective communication skills, both written and verbal
- Proficient in using credentialing software or databases
-Not a all inclusive list of requirements
Job Type: Contract
Pay: $18.29 - $22.03 per hour
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Schedule:
- Day shift
- Monday to Friday
- Weekends as needed
Work Location: Remote
