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salesforce zendesk ncqa primary source verification caqh proview📋 Description
- Own end-to-end credentialing lifecycle for providers
- Manage CAQH ProView profiles and data accuracy
- Serve as primary contact with CVO partners
- Monitor expirables and monthly OIG/SAM/Medicaid checks
- Support denial resolution with RCM and process improvements
🎯 Requirements
- 4+ years healthcare credentialing experience
- Knowledge of NCQA standards and primary source verification
- Proficiency with CAQH; experience with a CVO
- Strong data accuracy and attention to detail
- Bachelor's degree preferred or equivalent experience
- CPCS certification preferred
🎁 Benefits
- Remote-first company
- Health insurance plans (medical, dental, vision)
- 401K plan
- Lifestyle spending and wellness benefits
- Home office stipend and co-working space stipend
- 12 paid holidays and flexible PTO
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