Oscar
Award-winning recruitment consultancy; delivering talent across Tech, Digital, Life-Sciences, Energy & Construction
Senior Analyst, Credentialing Operations
Location
United States
Posted
9 days ago
Salary
$61.9K - $81.2K / year
2 yrs expEnglish
Job Description
• Maintain existing and incoming provider information to ensure accuracy and quality of the network by supporting complex non-standard provider information processing needs.
• Assist with administrative process improvements to enhance productivity
• Provide ongoing training and support to Credentialing Operations team members
• Conduct Primary Source Verification (PSV) and validate practitioner and facility credentials in compliance with NCQA standards
• Support employees on the team of all levels through escalation research and resolution
• Effectively communicate findings and resolutions with providers and internal departments inclusive of collaboration with cross-functional stakeholders
• Manage queue work and assigned caseload through effective dashboard management while ensuring integrity of information entered into company and external systems. Support junior employees in queue management and prioritization.
• Compliance with all applicable laws and regulations
• Other duties as assigned
Job Requirements
- 2+ years of credentialing experience, both individual practitioner and facility, adhering to NCQA standards
- 2+ years of intermediate Excel/Google Sheet proficiency
- 2+ years of assessing and comprehending end to end process impact
- 2+ years experience resolving credentialing problems
- 2+ years of inventory management queue experience
Benefits
- Employee benefits
- Participation in Oscar's unlimited vacation program
- Annual performance bonuses
Related Guides
Related Categories
Related Job Pages
More Operations Jobs
Operations9 days ago
Full TimeRemoteTeam 1,001-5,000Since 1999H1B Sponsor
Field Trainer delivering operational training for FleetPride team members
United States
Operations9 days ago
Full TimeRemoteTeam 10,001+Since 1990H1B No Sponsor
Presentation Specialist creating engaging presentations for ICON's clinical development
Pennsylvania
Operations9 days ago
Full TimeRemoteTeam 5,001-10,000Since 2007H1B Sponsor
Manager of Regional Operations overseeing trauma informed customer service teams.
SQLTableau
Alabama + 9 moreAll locations: Alabama, Alaska, Nebraska, North Dakota, Ohio, Oklahoma, Mississippi, Rhode Island, South Dakota, Wisconsin
$140K - $175K / year
Operations9 days ago
Full TimeRemoteTeam 5,001-10,000Since 2007H1B Sponsor
Manager leading supply acquisition strategy in Airbnb's Northeast Atlantic territory
Connecticut + 12 moreAll locations: Connecticut, District of Columbia, Maine, New Hampshire, New Jersey, New York, Maryland, Massachusetts, Pennsylvania, Rhode Island, Vermont, Virginia, West Virginia
$160K - $200K / year