Demo

Medical Credentialing Analyst

US Tech Solutions
Cumberland, RI Full Time
POSTED ON 4/17/2025
AVAILABLE BEFORE 5/17/2025

About the Position

As a Medical Credentialing Analyst, you will analyze data and make recommendations to improve the credentialing process. This involves reviewing credentialing records, identifying areas for improvement, and developing strategies to enhance efficiency and effectiveness.

The successful candidate will possess strong analytical and problem-solving skills, as well as the ability to communicate complex ideas clearly and concisely.

Responsibilities

  • Analyze data to identify trends and areas for improvement
  • Develop and implement strategies to enhance the credentialing process
  • Communicate findings and recommendations to management

Requirements

  • Demonstrated understanding of initial credentialing and re-credentialing practices
  • Proficient in quantitative analysis
  • Knowledge of Joint Commission Accreditation, NCQA, and URAC credentialing standards
  • A minimum of 3 years of experience in the healthcare industry with credentialing experience

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