Ncqa Credentialing Specialist Jobs

Are you tired of being just another anonymous employee, underappreciated and undervalued? We don’t think it should be that way either. Come join us instead!

We’re a small company with a big heart. We value work-life balance, so you’ll be leaving at 1 pm on Fridays. We want our employees to be healthy and happy, so we‘ll pay for your health insurance. Want to talk about a great idea you had? Our leadership team, including the CEO, has an open-door policy.

If you have experience as a physician credentialing specialist, we can’t wait to talk to you. We’re interviewing and hiring right now – so apply today!

Why Join Us: Our work is challenging and especially enjoyable in our family-like atmosphere. We offer excellent compensation and a competitive benefits package, AND most every week, only work 37 hours. We keep our work exciting and fun, while at the same time striving to provide innovative services and solutions to make healthcare more accessible, more effective, and more affordable for everyone!

About the Company

We are a privately-owned physician network in the Charlotte, NC Metro Area. We operate in the fast-paced, ever-evolving, managed care space.

We are a clinically integrated chiropractic physician network. We partner with payors, employers, and healthcare professionals to provide innovative services and solutions to make healthcare more accessible, more effective, and more affordable for everyone.

We offer increased access to conservative, cost-effective health care, unique quality initiatives to improve outcomes, efficient electronic solutions, and cost-saving administrative support, complemented by best-in-class service from our dedicated team of professionals.

Responsibilities:

• Conduct thorough verification and analysis of healthcare professionals' credentials, licenses, certifications, education, and work experience.
• Have a working knowledge of NCQA credentialing standards
• Assist with completing NCQA credentialing accreditation and re-accreditation surveys.
• Communicate effectively with healthcare professionals, assisting them in completing necessary documentation and addressing any inquiries related to the credentialing process.
• Utilize electronic systems and databases to manage and track credentialing documents and status updates.
• Assist the organization with applying for or obtaining NCQA credentialing accreditation or re-accreditation.
• Identify and address any discrepancies or issues in credentialing documents promptly and escalate as needed.

Qualifications:

• Able to work onsite daily
• Strong understanding of healthcare terminology, licensing regulations, and professional qualifications
• High school diploma or equivalent
• Minimum of 3 years experience directly assisting in the completion of an NCQA credentialing accreditation/re-accreditation survey
• Minimum of 3 years experience working for an organization with an NCQA-accredited credentialing program

We need you now, so don’t delay! Our team is ready to welcome you. Apply now!

FOR IMMEDIATE CONSIDERATION, email a current resume to [email protected]