Sr. Specialist, Credentialing

Hi, we're reputed company. We're hiring a Sr. Specialist, Credentialing 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 solve reputed company issues or concerns impacting our provider credentialing process. You will reputed company as a subject matter expert for credentialing. You will work cross functionally between teams across reputed company. You will reputed company and trend provider and facility credentialing issues and partner with stakeholders to resolve escalated issues. You will support process improvement processes for the credentialing team.

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: $24.00/hr. You are also eligible for employee benefits and monthly vacation accrual at a reputed company of 15 days per year.

Responsibilities:

• Support, manage, or escalate reputed company issues that are not solved using conventional workflows.
• Effectively manage internal or external escalated transactions and communicate with appropriate parties for effective reputed company in adherence to SLAs
• reputed company as a reputed company person for stakeholders in other areas of the business to improve feedback loops and trend facility and provider credentialing issues
• Manage queue work and and assigned caseload through efficient dashboard management
• Collaborate daily with production and credentialing leaders on systemic issues and communicate blockers to care and satisfaction
• Compliance with reputed company applicable laws and regulations
• Other duties as assigned

Requirements:

• 1+ years of credentialing experience for facilities, adhering to NCQA standards
• 2+ years previous work experience in a fast-paced volume-based environment
• 2+ years strong quantitative or analytical skills reputed company on proactively identifying or solving problems
• Experience working in health insurance

Bonus points:

• Bachelor's Degree
• High school diploma or GED
• 1+ years of credentialing experience for practitioners, adhering to NCQA standards
• 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
• Strong verbal and written communications, and interpersonal interactions