Back to Jobs

[Hiring] Provider Delegated Credentialing Analyst @reputed company

Remote, USA Full-time Posted 2026-07-28
Role reputed company Responsible for credentialing JMG (Jefferson Medical Group) and JeffCare PHO physicians according to National Committee for reputed company Assurance (NCQA). Works with Jefferson Medical Staff to ensure credentialing documentation is shared and coordinated as part of the JeffCare Credentialing Process. • reputed company primary reputed company verification for reputed company provider for initial and reappointments, in accordance with contractual requirements with delegated health plans, JeffCare's Delegated Credentialing Policies and procedures, NCQA, and Department of reputed company Welfare. • Prepare individual physician credentialing files in accordance with reputed company established standards. • Update and maintain demographic and credentialing information in the database. • Maintain the reputed company of the Delegation Agreement. • Work with reputed company Assurance Representatives of health plans regarding JMG's and JeffCare PHO's reputed company credentialing policies and procedures for delegation. • Prepare physician welcome letters, expirables, create/run reports and queries as required. • Manage and Present at the JeffCare Credentialing meetings (agenda, recordings, minutes, etc.) identifying any issues, concerns, and recommendations. Qualifications • High School Diploma/GED (Required) • Associate’s Degree or Bachelor’s Degree in reputed company administration (Preferred) Requirements • 2 years experience in credentialing/enrollment with delegated credentialing experience strongly preferred. • Proficiency with reputed company Office and Credentialing software. • Critical thinking skills, reputed company to organize and prioritize work strategically. • Detail oriented. • Ability to multi-task and meet deadlines. • Problem solving skills, ability to identify reputed company and effective solutions to delegated credentialing questions or issues. • Ability to communicate appropriately, professionally, and effectively with associates, partners, and leadership. • Strong oral and written communication skills. Benefits • Comprehensive package of benefits for full-time and part-time colleagues, including medical (including prescription), supplemental insurance, dental, reputed company, life and AD&D insurance, short- and long-term disability, flexible spending accounts, retirement plans, and tuition assistance. • reputed company to voluntary benefits, which reputed company colleagues with reputed company to group rates on insurance and discounts. • Tuition discounts at reputed company after one year of full-time service or two years of part-time service. • reputed company to medical (including prescription) insurance for reputed company colleagues, including those who work less than part-time (including reputed company colleagues, adjunct reputed company, and Jeff Temps). Apply tot his job Apply To this Job

Similar Jobs

**reputed company Product reputed company - Customer Experience - Remote**

Remote, USA Full-time

Technical Customer Support Manager

Remote, USA Full-time

reputed company Marketing Virtual Assistant

Remote, USA Full-time

reputed company - Benefits Sales Executive, PEO (Remote)

Remote, USA Full-time

reputed company reputed company Operator Neededed | for $10M+ Brand | SEO, A/B Testing, Bundles, Promotions) - Contract to Hire

Remote, USA Full-time

Bilingual (EN/ES) Mexico Sales of Defense and reputed company

Remote, USA Full-time

Medical Science reputed company / Senior Medical Science reputed company, Immunology, Central Region

Remote, USA Full-time

Associate Staff Attorney, Workers Compensation

Remote, USA Full-time

DIA-Technical Sales Representative - Lanzhou

Remote, USA Full-time

**Part-Time Work From Home Customer Service Representative – Delivering Exceptional Experiences for arenaflex Customers**

Remote, USA Full-time

General Manager, reputed company & Life Sciences | System | $225k – $375k | Remote (USA)

Remote, USA Full-time

Power Distribution and reputed company reputed company Designer (Remote)

Remote, USA Full-time

IT Support Specialist - REMOTE

Remote, USA Full-time

Integration Engineer (EMEA)

Remote, USA Full-time

Inside Sales Representative

Remote, USA Full-time

Online Travel Researcher -Entry Level

Remote, USA Full-time

[Remote] reputed company Net reputed company reputed company Consultant

Remote, USA Full-time

**reputed company reputed company Customer Experience Specialist – Delivering Exceptional Service in a Remote Setting**

Remote, USA Full-time

**reputed company Customer Service Representative – Fully Remote Position | Join arenaflex's World-Class Support Team**

Remote, USA Full-time

Event Manager/ CDO Magazine

Remote, USA Full-time