RemoteDescription:Position SummaryThe client is seeking an analyst experienced in health care or health plan compliance monitoring and auditing to join our Credentialing and Payer Delegation team. This position supports the credentialing compliance monitoring program activities, auditing, data collection, trend analysis and meeting timeliness for delegated payer deliverables.Assists in the preparation of deliverables for payer and internal audit requestsAssist with credentialing tasks as neededBuilding and maintaining effective, positive internal and external customer relationshipsConducting ongoing monitoring to evaluate levels of regulatory credentialing and delegated payer compliance with contractual and requirementsExhibiting client at Work BehaviorsParticipating in team initiatives and projects and meeting deadlines and quality expectationsParticipates 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 objectivesPerforming credentialing business process functions as needed, performing scheduled and random credentialing file auditsReviewing risk assessments while participating in ongoing monitoring and annual program evaluation and identification of areas where there can be process improvementExperience:-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 experience is preferredEducation:Bachelor’s DegreeExperience2 years’ experience with NCQA compliance1 year MD-Staff experience preferred.1 year of credentialing software experience required. Application processing, NPI, NPDB and license verificationsIndependent time management in a work from home environmentNotes:Normal work hours Mon-Fri 8:30-5. Training hours Mon-Fri 9:30a-4p EST for approximately twoFully remote (never coming onsite)Safety Sensitive = DT required VIVA is an equal opportunity employer. All qualified applicants have an equal opportunity for placement, and all employees have an equal opportunity to develop on the job. This means that VIVA will not discriminate against any employee or qualified applicant on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status
Description:
Position SummaryThe client is seeking an analyst experienced in health care or health plan compliance monitoring and auditing to join our Credentialing and Payer Delegation team. This position supports the credentialing compliance monitoring program activities, auditing, data collection, trend analysis and meeting timeliness for delegated payer deliverables.Assists in the preparation of deliverables for payer and internal audit requestsAssist with credentialing tasks as neededBuilding and maintaining effective, positive internal and external customer relationshipsConducting ongoing monitoring to evaluate levels of regulatory credentialing and delegated payer compliance with contractual and requirementsExhibiting client at Work BehaviorsParticipating in team initiatives and projects and meeting deadlines and quality expectationsParticipates 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 objectivesPerforming credentialing business process functions as needed, performing scheduled and random credentialing file auditsReviewing risk assessments while participating in ongoing monitoring and annual program evaluation and identification of areas where there can be process improvementExperience:-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 experience is preferredEducation:Bachelor’s DegreeExperience2 years’ experience with NCQA compliance1 year MD-Staff experience preferred.1 year of credentialing software experience required. Application processing, NPI, NPDB and license verificationsIndependent time management in a work from home environmentNotes:Normal work hours Mon-Fri 8:30-5. Training hours Mon-Fri 9:30a-4p EST for approximately twoFully remote (never coming onsite)Safety Sensitive = DT required
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