Bachelor's degree or higher strongly preferred or equivalent work experience required
3+ years of credentialing and/or auditing experience required
Knowledge of NCQA and Medicare standards
Proficient in Microsoft Access, Excel, Outlook, PowerPoint and Word
Strong analytical and problem-solving skills
Excellent communication, collaboration, interpersonal and organizational skills
Ability to work effectively, both independently and/or in a group setting
Ability to effectively coordinate and manage multiple projects and prioritize work in a fast-paced environment
Ability to perform work with minimal supervision while achieving desired outcome
Minimal travel may be required for audits.

Benefits

medical insurance
vision insurance
dental insurance
well-being and behavioral health programs
401(k)
company paid life insurance
tuition reimbursement
a minimum of 18 days of paid time off per year
paid holidays

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

credentialingauditingdata analysiscontract negotiationregulatory compliance

Soft Skills

analytical skillsproblem-solving skillscommunication skillscollaboration skillsinterpersonal skillsorganizational skillsproject managementindependent workteamwork