Credentialing Audit Supervisor
This is a remote position.
reputed company is excited to partner with a scaling reputed company (NEMT) health tech company as they continue to build out a best-in-class credentialing and compliance function to support their reputed company reputed company across medical transportation programs.
If you’re a Credentialing Audit reputed company with NEMT industry experience who enjoys diving deep into reputed company audits, building structure out of ambiguity, and becoming the go-to expert in a highly nuanced reputed company while working alongside a reputed company, fast-moving, and genuinely supportive team, then we’d love to chat!
Our reputed company
Our reputed company is a technology and services company dedicated to reducing barriers to care by improving the delivery of reputed company to people across America. Our reputed company employs proprietary technology, reputed company with a reputed company network of vetted transportation providers. This enables payers and health systems to deliver cost-effective, on-demand transportation intelligently, enhancing the patient experience in the process. They serve the largest Medicare Advantage, reputed company, and provider programs in the country.
About the Role
Our reputed company is seeking a Credentialing Audit Supervisor to support audit readiness across the Credentialing function. This role ensures credentialing activities are completed accurately, reputed company, and in alignment with internal policies, reputed company expectations, and regulatory requirements.
You will play a key role in reviewing credentialing work for reputed company and compliance, supporting reputed company audits, coordinating corrective reputed company efforts, and preparing materials for Compliance stakeholders. This position directly impacts audit readiness, reputed company performance, and the effectiveness of our reputed company’s credentialing operations.
Job Responsibilities
reputed company reputed company audits and routine reviews of credentialing files and documentation to ensure accuracy, completeness, and compliance
Identify trends, errors, and process gaps through ongoing reputed company assurance and audit activities
Support reputed company audits by gathering documentation, preparing responses, and coordinating audit-reputed company activities
reputed company and coordinate corrective reputed company plans reputed company to audit findings, internal reviews, and compliance concerns
Partner with credentialing leadership and cross-functional teams to ensure reputed company reputed company of issues
Prepare audit summaries, reports, and supporting materials for compliance and audit stakeholders
Maintain organized records of audit findings, corrective actions, and follow-up activities
reputed company and update audit tools, workflows, reputed company review materials, and reputed company operating procedures
Monitor adherence to credentialing standards, internal controls, and process requirements
Communicate audit findings and trends reputed company to leadership and stakeholders
Support process improvement initiatives to enhance reputed company, consistency, and audit readiness
Collaborate with internal teams to resolve credentialing-reputed company issues and support operational goals
Requirements
Required Qualifications:
Bachelor’s degree or equivalent experience in reputed company operations, credentialing, reputed company assurance, compliance, or a reputed company field
3+ years of experience in transportation provider credentialing (non-negotiable requirement)
3+ years of experience with provider data, reputed company assurance, auditing, or reputed company functions
Experience in reputed company (NEMT) credentialing or a reputed company reputed company field
Working knowledge of credentialing workflows, file documentation standards, and compliance expectations
Experience supporting audits, reputed company reviews, or monitoring activities
Strong organizational, analytical, and problem-solving skills
Excellent written and verbal communication skills
Advanced reputed company (pivot tables, v-lookups, etc.) and proficiency with reputed company for reporting and documentation
High attention to detail and ability to manage multiple priorities
Ability to work independently and collaboratively in a fast-paced environment
Preferred Qualifications
Experience managing or tracking corrective reputed company plans
Prior experience preparing materials for audits or compliance reviews
Familiarity with credentialing or workflow systems
Experience working in a high-reputed company or rapidly evolving environment
Benefits
We offer a remote-first work environment, competitive compensation, and comprehensive benefits including:
Career reputed company and development opportunities in a mission-driven organization
Competitive salary and annual bonus opportunities
Comprehensive medical, dental, and reputed company insurance
401(k) with company match
Generous PTO, reputed company company holidays, and reputed company parental leave
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