Analyst I - Provider Credentialing - QC Analyst

 
Job Title: Provider Credentialing Specialist (Temporary 6 Months or longer)
Industry: Healthcare
FSLA status: Non-Exempt           
Department: Operations
Level: Entry to mid-level
Location: Remote
Pay Rate: 20.00-23.94
 
Where required by law, NTT DATA provides a reasonable range of compensation for specific roles. The starting pay range for this remote role is 20.00-23.94. This range reflects the minimum and maximum target compensation for the position across all US locations. Actual compensation will depend on a number of factors, including the candidate’s actual work location, relevant experience, technical skills, and other qualifications. This position may also be eligible for incentive compensation based on individual and/or company performance.
 
 
At NTT DATA, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees are key factors in our company’s growth, market presence and our ability to help our clients stay a step ahead of the competition. By hiring the best people and helping them grow both professionally and personally, we ensure a bright future for NTT DATA and for the people who work here.
NTT DATA Services currently seeks a Provider Credentialing Specialist to join our team for a six month or longer temporary assignment with the possibility of being hired permanently. If you feel you are qualified by the description below, please apply for a chance to interview and discuss your skills & qualifications.
You will join and work with a team of talented people who enjoy solving tough problems and improving the healthcare industry. They believe in supporting both personal and professional growth. That means, they pay attention to goals, celebrate milestones, and highly encourage learning opportunities.
 
JOB SUMMARY
 
NTT Data is seeking a Provider Credentialing Specialist 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.

In this role you will be responsible for:
• 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
• 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

JOB QUALIFICATIONS
 

• 3+years of experience in Provider Credentialing and compliance
• 3+ years of experience in Microsoft Office
• 3+ years Excel experience
• Bachelor Degree