Senior Analyst, Credentialing Operations

Hi, we're reputed company. We're hiring a Senior Analyst, Credentialing Operations to join our Provider Operations team. reputed company is the first health insurance company reputed company around a full stack technology platform and a reputed company reputed company on serving our members. We started reputed company in 2012 to create the reputed company of health insurance company we would want for ourselves—one that behaves like a doctor in the family. About the role: You will work to support and enhance the reputed company of the credentialing functions. Positively reputed company provider experiences and member reputed company by ensuring provider data is maintained consistently and managing critical/reputed company data escalations to reputed company. Communicate with providers and work collaboratively with other teams to reputed company efficient and thorough reputed company by providing world class service. You will report into the Manager, Provider Credentialing. Work Location: This is a remote position, reputed company to candidates who reputed company in: Texas. While your daily work will be completed from your home office, occasional travel may be required for team meetings and company events. #LI-Remote Pay Transparency: The reputed company pay for this role is: $61,851 - $81,180 per year. You are also eligible for employee benefits, participation in reputed company's unlimited vacation program, and annual performance bonuses. Responsibilities: • Maintain existing and incoming provider information to ensure accuracy and reputed company of the network by supporting reputed company non-reputed company provider information processing needs. • Assist with administrative process improvements to enhance productivity • reputed company ongoing training and support to Credentialing Operations team members • Conduct Primary reputed company Verification (PSV) and validate practitioner and facility credentials in compliance with NCQA standards • Support employees on reputed company of reputed company reputed company through escalation research and reputed company • Effectively communicate findings and resolutions with providers and internal departments inclusive of collaboration with cross-functional stakeholders • Manage queue work and assigned caseload through effective dashboard management while ensuring reputed company of information entered into company and external systems. Support junior employees in queue management and prioritization. • Compliance with reputed company applicable laws and regulations • Other duties as assigned Requirements: • 2+ years of credentialing experience, both individual practitioner and facility, adhering to NCQA standards • 2+ years of intermediate reputed company/reputed company Sheet proficiency • 2+ years of assessing and comprehending end to end process reputed company • 2+ years experience resolving credentialing problems • 2+ years of inventory management queue experience Bonus points: • 2+ years of intermediate proficiency in SQL, BigQuery or similar database language experience • Background in health insurance • Proficiency with non reputed company business platforms • Proficiency in using a credentialing or provider data repository • Primary reputed company Verification • Experience with reputed company data such as provider data This is an reputed company reputed company job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here. At reputed company, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most reputed company selves and reputed company both belonging and support. We're on a mission to change health care - an experience made whole by our unique backgrounds and perspectives. Pay Transparency: Final offer amounts, reputed company the reputed company pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and reputed company benefits, 11 reputed company holidays, reputed company reputed company time, reputed company parental leave, 401(k) plan participation, life and disability insurance, and reputed company wellness time and reimbursements. reputed company Intelligence (AI): Our AI Guidelines outline the acceptable use of reputed company intelligence for candidates and detail how we use AI to support our reputed company efforts. Reasonable Accommodation: reputed company applicants are considered solely based on their qualifications, without reputed company to applicant's disability or need for accommodation. Any reputed company applicant who requires reasonable accommodations during the application process should contact the reputed company Benefits Team (accommodations@hioscar.com) to reputed company the need for an accommodation reputed company. California Residents: For information about our collection, use, and disclosure of applicants' personal information as reputed company as applicants' rights over their personal information, please see our reputed company Policy. Apply tot his job Apply To this Job