Demo

Remote Provider Credentialing Analyst

A-Line Staffing Solutions
Woonsocket, RI Remote Full Time
POSTED ON 3/29/2025
AVAILABLE BEFORE 4/28/2025

Job Title: Remote Provider Credentialing Analyst

Pay: $23.94 an hr | Bi-weekly

Job Type:

  • Fully Remote

Shift Options:

  • Normal work hours and training are Mon-Fri 9a-5:30p EST

Remote Provider Credentialing Analyst Overview:

  • 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

  • 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 functions as needed, performing scheduled and random credentialing file audits

  • Reviewing risk assessments while participating in ongoing monitoring and annual program evaluation and identification of areas where there can be process improvement

Remote Provider Credentialing Analyst Qualifications:

  • 3 years of related health care or health plan experience in credentialing compliance, auditing, and quality assurance
  • Proficient in Microsoft Office Applications; Excel, Outlook, Word, and Teams
  • The ability to create spreadsheets, analyze data and identify trends.
  • Strong attention to detail and the ability to multi-task in a fast-paced environment
  • MDStaff and CAQH experience is PREFERRED

Remote Provider Credentialing Analyst Benefits:

  • Benefits are available to full-time employees after 90 days of employment and include health, optical, dental, life, and short-term disability insurance.
  • A 401(k) with a company match is available for full-time employees with 1 year of service on our eligibility dates.

How to Apply:

If you are interested in this position, please apply OR submit your resume to:

Saw Hlaing | shlaing@alinestaffing.com | 412-790-5425

Salary : $24

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