Provider Delegated Credentialing Analyst

Jefferson

Credentialing Analyst at Jefferson Medical Group responsible for physician credentialing and compliance. Collaborating with health plans and managing documentation per NCQA standards.

Posted 5/1/2026full-timeRemote • Pennsylvania • 🇺🇸 United StatesJuniorMid-LevelWebsite

About the role

Key responsibilities & impact

Responsible for credentialing JMG (Jefferson Medical Group) and JeffCare PHO physicians according to National Committee for Quality Assurance (NCQA)
Perform primary source verification for each provider for initial and reappointments in accordance with contractual requirements
Prepare individual physician credentialing files in accordance with all established standards
Update and maintain demographic and credentialing information in the database
Maintain the integrity of the Delegation Agreement
Work with Quality Assurance Representatives of health plans regarding JMG's and JeffCare PHO's Enterprise 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

Requirements

What you’ll need

High School Diploma/GED required
Associate’s Degree or Bachelor’s Degree in healthcare administration preferred
2 years experience in credentialing/enrollment with delegated credentialing experience strongly preferred
Proficiency with Microsoft Office and Credentialing software
Critical thinking skills, able to organize and prioritize work strategically
Detail oriented
Ability to multi-task and meet deadlines
Problem solving skills, ability to identify options 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

Comp & perks

medical (including prescription)
supplemental insurance
dental
vision
life and AD&D insurance
short- and long-term disability
flexible spending accounts
retirement plans
tuition assistance
access to tuition discounts at Thomas Jefferson University
voluntary benefits with group rates on insurance and discounts

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

credentialingprimary source verificationdatabase managementreport creationquery execution

Soft Skills

critical thinkingorganizational skillsdetail orientedmulti-taskingproblem solvingcommunication skills

Certifications

High School DiplomaGEDAssociate’s DegreeBachelor’s Degree