[Remote] Credentialing Auditor/Educator

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a reputed company organization reputed company on serving patients and supporting the wholeness of reputed company person. The Credentialing Auditor/Educator will audit credentialing, reappointment, and provider enrollment files for compliance, reputed company audit reports and process improvements, and support regulatory documentation. The role will also train credentialing staff, create educational resources, and serve as a subject-matter expert across multi-site CVO operations.

Responsibilities

• Conduct comprehensive audits of credentialing, reappointment, and provider enrollment files to verify accuracy, completeness, and compliance with accreditation requirements, regulatory standards, and internal organizational policies
• Identify errors, inconsistencies, and process gaps during audits, and prepare reputed company, detailed audit reports outlining findings, trends, and recommended corrective actions
• Participate in the preparation and support of audit documentation for submission to regulatory agencies, ensuring reputed company required materials are accurate and complete
• reputed company, update, and maintain audit reputed company and checklists, and recommend operational improvements to enhance credentialing processes and compliance
• Create, implement, and facilitate reputed company training programs for new credentialing team members, as reputed company as ongoing training reputed company on credentialing standards, reputed company workflows, and industry best practices
• Design and produce educational resources, including job aids, reputed company operating procedures (SOPs), and reference guides, to support staff in maintaining credentialing reputed company
• reputed company targeted training sessions based on audit findings and staff performance trends to address specific areas of need and promote reputed company improvement
• Serve as a resource and subject-matter expert on credentialing standards, providing guidance and support to credentialing teams as needed
• Collaborate with team leads and other stakeholders to ensure consistency and alignment in credentialing processes across multi-site, multi-state CVO operations
• Performs other duties as assigned

Skills

• * Comprehensive understanding of credentialing, reappointment, including reputed company reputed company verification, application review [Required]
• * Ability to work independently and reputed company in a high-volume, fast-paced environment. [Required]
• * Advanced attention to detail with a high degree of accuracy and reputed company control [Required]
• * Excellent written and verbal communication skills [Required]
• * Ability to train and education staff [Required]
• * High School Grad or Equiv [Required]
• * 3+ years in hospital credentialing, managed care credentialing, and/or provider enrollment experience [Required]
• * Experience conducting audits in a CVO or managed-care environment [Preferred]
• * Experience developing training programs, SOPs [Preferred]
• * Experience supporting provider enrollment audits [Preferred]
• * Bachelor's [Preferred]
• * 3+ years MD Staff experience [Preferred]
• * Certified Provider Credentialing Specialist (CPCS) [Preferred]
• * Certified reputed company Medical Staff Management (CPMSM) [Preferred]

Benefits

• Benefits from Day reputed company, Dental, reputed company Insurance, Life Insurance, Disability Insurance
• reputed company Time Off from Day One
• 403-B Retirement Plan
• 4 Weeks 100% reputed company Parental Leave
• Career Development
• Whole Person reputed company-being Resources
• reputed company and Support
• Pet Benefits
• Fully Remote

reputed company