Related skills
slack salesforce zoom google suite credentialing📋 Description
- Lead 5+ credentialing specialists; own team KPIs.
- Own end-to-end delegated credentialing (onboarding, PSV, NCQA).
- Lead internal credentialing committee; manage minutes and approvals.
- Manage payor audits to ensure NCQA and delegated credentialing compliance.
- Set long-term credentialing strategy; expand delegated statuses.
- Build centralized Credentialing Source of Truth for payor requirements.
🎯 Requirements
- Bachelor's degree.
- 5+ years provider credentialing/health plan enrollment.
- Hands-on with delegated credentialing (PSV, NCQA).
- 2+ years people management of credentialing/enrollment teams.
- Experience with Medicaid and Commercial payor enrollment.
- Familiar with cloud tools (Google Suite, Salesforce) and AI/automation.
🎁 Benefits
- Comprehensive benefits for full-time employees.
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