Offer summary
Qualifications:
Experience in payor audit management, In-depth knowledge of regulatory compliance, Proven team management skills, Technologically savvy with provider management software, Strong analytical and critical thinking abilities.
Key responsabilities:
- Manage the payor audit process and internal audits
- Lead the Delegated Credentialing Committee meetings
- Ensure average credentialing time remains below 7 days
- Serve as primary point of contact for payor communications
- Oversee off-shore assistants' preliminary checks