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Credentialing and CVO Documentation Specialist
NeolytixCVO Documentation & Audit Specialist preparing healthcare credentialing policies, audits, and survey materials for NCQA certification. Hybrid role based in Quezon City, Philippines.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in developing and maintaining credentialing policies aligned with NCQA standards, along with strong analytical skills for quality improvement processes and internal audits. Proficient in coordinating NCQA survey preparations and addressing surveyor findings effectively.
Highest-signal resume keywords
NCQA Credentialing StandardsPolicy And Procedure WritingCredentialing Software ProficiencyCPCS Or CPMSM CertificationHealthcare Credentialing Experience
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Credentialing Policy DevelopmentInternal File AuditsQuality Improvement Metrics AnalysisSurvey PreparationDocumentation Organization
Soft Skills
Excellent Written CommunicationExcellent Verbal Communication
Tools & Technologies
CAQHVerityStreamCactus
Certifications & Qualifications
CPCSCPMSM
Industry Keywords
CVO OperationsNCQA StandardsJCAHOCMSState Credentialing Requirements
About the role
Key responsibilities & impact- Develop, write, and maintain credentialing policies and procedures aligned with NCQA CVO standards
- Cross-reference policies and procedures to specific NCQA standards and elements
- Prepare and organize documentation for Interactive Review Tool (IRT) submission
- Track and monitor NCQA policy updates, corrections, and clarifications
- Establish and maintain NCQA-required quality improvement processes
- Conduct internal file audits covering 10–20% of closed files
- Prepare mock survey materials and conduct internal readiness assessments
- Collect and analyze QI metrics and prepare certification review reports
- Coordinate survey submission timelines and requirements
- Prepare file samples for NCQA surveyor review
- Support virtual survey logistics and documentation requests
- Address surveyor findings and coordinate corrective action responses
Requirements
What you’ll need- 4–6 years of experience in healthcare credentialing or CVO operations
- Direct experience with NCQA credentialing standards (CVO or CR) — REQUIRED
- Experience preparing for and/or participating in NCQA surveys or health plan audits
- Strong policy and procedure writing skills
- Proficiency with credentialing software such as CAQH, VerityStream, Cactus, or similar
- Excellent English written and verbal communication
- CPCS or CPMSM certification from NAMSS preferred
- Experience with delegated credentialing arrangements preferred
- Prior work at an NCQA-certified CVO preferred
- Familiarity with JCAHO, CMS, and state credentialing requirements preferred
- Willingness to work on a hybrid setup at the Eastwood, Quezon City office
Benefits
Comp & perks- 🌐 Worldwide ❌ Jobs You've Hidden ⭐️ Saved Jobs ✅ Applied Jobs ✉️ Email Alerts 👤 Account Neolytix Website LinkedIn All Job Openings 51 - 200 employees 💼 Consulting 📣 Marketing 📦 Logistics Consulting
- Marketing
- Logistics Neolytix is a Management Service Organization (MSO) dedicated to optimizing healthcare organizations through revenue and cost transformation. With over 11 years of experience, Neolytix supports independent healthcare providers by offering services such as Revenue Cycle Management, medical billing, practice marketing, and remote patient monitoring. Their goal is to enhance monthly collections, streamline office administration, and improve patient experiences, allowing physicians to focus more on providing quality care. Credentialing and CVO Documentation Specialist Job not on LinkedIn 🔥 5 minutes ago 🏢🏡 Quezon City – Hybrid ⏰ Full Time 🟡 Mid-level 🟠 Senior ✨ Credentialing Specialist Apply Now Find Hiring Managers Customize resume + cover letter Report problem ☆ Save ☑️ Mark as applied ❌ Hide 📋 Description
- Develop, write, and maintain credentialing policies and procedures aligned with NCQA CVO standards
- Cross-reference policies and procedures to specific NCQA standards and elements
- Prepare and organize documentation for Interactive Review Tool (IRT) submission
- Track and monitor NCQA policy updates, corrections, and clarifications
- Establish and maintain NCQA-required quality improvement processes
- Conduct internal file audits covering 10–20% of closed files
- Prepare mock survey materials and conduct internal readiness assessments
- Collect and analyze QI metrics and prepare certification review reports
- Coordinate survey submission timelines and requirements
- Prepare file samples for NCQA surveyor review
- Support virtual survey logistics and documentation requests
- Address surveyor findings and coordinate corrective action responses 🎯 Requirements
- 4–6 years of experience in healthcare credentialing or CVO operations
- Direct experience with NCQA credentialing standards (CVO or CR) — REQUIRED
- Experience preparing for and/or participating in NCQA surveys or health plan audits
- Strong policy and procedure writing skills
- Proficiency with credentialing software such as CAQH, VerityStream, Cactus, or similar
- Excellent English written and verbal communication
- CPCS or CPMSM certification from NAMSS preferred
- Experience with delegated credentialing arrangements preferred
- Prior work at an NCQA-certified CVO preferred
- Familiarity with JCAHO, CMS, and state credentialing requirements preferred
- Willingness to work on a hybrid setup at the Eastwood, Quezon City office Apply Now 📊 Check your resume score for this job Improve your chances of getting an interview by checking your resume score before you apply. Check Resume Score 🌐 Worldwide Built by Lior Neu-ner. I'd love to hear your feedback — Get in touch via DM or support@remoterocketship.com Search Search Jobs by country Search jobs by city Search jobs by job title Search entry-level jobs Search junior-level jobs Search senior-level jobs Search jobs by tech stack Search jobs by contract type Search remote internships Search remote part-time jobs Remote jobs Anywhere in the World Companies Hiring Anywhere in the World Companies Hiring Sales People Anywhere in the World Companies Hiring Software Engineers Anywhere in the World Resources Advice Tips for finding remote jobs Interview questions and answers Resume examples Cover letter examples Post a job Affiliates About us Is Remote Rocketship legit? Privacy policy Terms of service Job board SEO course Remote Job Search MasterClass AI Apply Copilot OpenClaw job finder Find jobs using your resume Jobs by Country Remote jobs anywhere in the world (Worldwide remote jobs) Remote jobs United States Remote jobs Australia Remote jobs Brazil Remote jobs Canada Remote jobs France Remote jobs Ireland Remote jobs Germany Remote jobs Netherlands Remote jobs Spain Remote jobs UK Popular Jobs Remote data analyst jobs Remote customer support jobs Remote executive assistant jobs Remote marketing jobs Remote product designer jobs Remote product manager jobs Remote project manager jobs Remote recruiter jobs Remote sales jobs Remote software engineer jobs Jobs by Type Remote full-time jobs Remote part-time jobs Remote contract jobs Remote internship jobs Remote entry-level jobs Remote jobs with no experience required Remote junior jobs (1-3 years of experience) Digital nomad jobs Remote jobs with no degree required Freelance remote jobs Temporary remote jobs Remote jobs hiring now Stay at home mom jobs