Job Description


Our Client, a Retail Pharmacy company, is looking for a Credentialing Analyst for their Remote location.
 

Responsibilities:
  • Assists in the preparation of deliverables for payer and internal audit requests
  • Assist with credentialing tasks as needed
  • Building and maintaining effective, positive internal and external customer relationships
  • Conducting ongoing monitoring to evaluate levels of regulatory credentialing and delegated payer compliance with contractual and requirements
  • Exhibiting Client Heart at Work Behaviors
  • Participating in team initiatives and projects and meeting deadlines and quality expectations
  • Participates in the development and ongoing implementation of quality improvement activities. Improve quality products and services, by using measurements and analysis to process, evaluate and make recommendations to meet QM compliance objectives
  • Performing credentialing business process func...
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