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Credentialing Audit Supervisor

Walker Bowen Talent Partners

Role overview

Qualifications

  • Bachelor’s degree or equivalent experience in healthcare operations, credentialing, quality assurance, compliance, or a related field
  • 3+ years of experience in transportation provider credentialing
  • 3+ years of experience with provider data, quality assurance, auditing, or related functions
  • Advanced Excel (pivot tables, v-lookups, etc.) and proficiency with Adobe for reporting and documentation

Responsibilities

  • Perform quality audits and routine reviews of credentialing files and documentation to ensure accuracy, completeness, and compliance
  • Identify trends, errors, and process gaps through ongoing quality assurance and audit activities
  • Support internal and external audits by gathering documentation, preparing responses, and coordinating audit-related activities
  • Track and coordinate corrective action plans related to audit findings, internal reviews, and compliance concerns

Key facts

Hard skills

Auditing Internal Controls Pivot Tables And Charts Auditing Auditing Auditing Adobe Creative Cloud Auditing Provider Data Management Auditing Online Communication Process Improvement

Other skills

  • Quality Assurance
  • Non-Verbal Communication
  • Analytical Skills
  • Time Management
  • Teamwork
  • Organizational Skills
  • Detail Oriented
  • Problem Solving

About the company

Walker Bowen Talent Partners logo

Walker Bowen Talent Partners

Staffing & Recruiting

We are in the business of making connections and growing startups. Walker Bowen Talent Partners enhances the growth of fast-moving start-ups with dynamic teams of high performers and leaders. A diverse, woman owned company, we offer more than 30 years combined experience in professional recruiting and staffing services, building startups and high-growth companies spanning multiple industries. Since our inception, we have been focused on building a strategic, quality search practice and specialize in talent advisory by creating tailored solutions for startups and growing companies. Startups often times don’t need in house recruiting until later in their company’s growth but they still need recruiting expertise in order to grow. Our team of advisors and consulting partners offer a portfolio of services to positively impact your company’s success and includes: Experienced Recruiters, Fractional CxOs, Human Resources, Marketing, and Organizational Development and Leadership Consultants distributed across the US, each with a diverse background specializing in various industries and skills. We understand the unique characteristics required to successfully build a company and love working with entrepreneurial-minded, tenacious teams to positively impact their scaling organization. We are solution, individual and partnership focused. How can we help you grow?

Company details

IndustryStaffing & Recruiting
Company size2 - 10

Links

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Job description

This is a remote position.

Walker Bowen Talent Partners is excited to partner with a scaling non-emergency medical transportation (NEMT) health tech company as they continue to build out a best-in-class credentialing and compliance function to support their rapid growth across medical transportation programs.

If you’re a Credentialing Audit professional with NEMT industry experience who enjoys diving deep into complex audits, building structure out of ambiguity, and becoming the go-to expert in a highly nuanced space while working alongside a collaborative, fast-moving, and genuinely supportive team, then we’d love to chat!

Our Client

Our client is a technology and services company dedicated to reducing barriers to care by improving the delivery of non-emergency medical transportation to people across America. Our client employs proprietary technology, paired with a nationwide network of vetted transportation providers. This enables payers and health systems to deliver cost-effective, on-demand transportation intelligently, enhancing the patient experience in the process. They serve the largest Medicare Advantage, Medicaid, and provider programs in the country.

About the Role    

Our client is seeking a Credentialing Audit Supervisor to support audit readiness across the Credentialing function. This role ensures credentialing activities are completed accurately, timely, and in alignment with internal policies, client expectations, and regulatory requirements.


You will play a key role in reviewing credentialing work for quality and compliance, supporting internal and external audits, coordinating corrective action efforts, and preparing materials for Compliance stakeholders. This position directly impacts audit readiness, quality performance, and the effectiveness of our client’s credentialing operations.  


Job Responsibilities    

  • Perform quality audits and routine reviews of credentialing files and documentation to ensure accuracy, completeness, and compliance 
  • Identify trends, errors, and process gaps through ongoing quality assurance and audit activities 
  • Support internal and external audits by gathering documentation, preparing responses, and coordinating audit-related activities 
  • Track and coordinate corrective action plans related to audit findings, internal reviews, and compliance concerns 
  • Partner with credentialing leadership and cross-functional teams to ensure timely resolution of issues 
  • Prepare audit summaries, reports, and supporting materials for compliance and audit stakeholders 
  • Maintain organized records of audit findings, corrective actions, and follow-up activities 
  • Develop and update audit tools, workflows, quality review materials, and standard operating procedures 
  • Monitor adherence to credentialing standards, internal controls, and process requirements 
  • Communicate audit findings and trends clearly to leadership and stakeholders 
  • Support process improvement initiatives to enhance quality, consistency, and audit readiness 
  • Collaborate with internal teams to resolve credentialing-related issues and support operational goals   


Requirements

Required Qualifications:    

  • Bachelor’s degree or equivalent experience in healthcare operations, credentialing, quality assurance, compliance, or a related field 
  • 3+ years of experience in transportation provider credentialing (non-negotiable requirement)
  • 3+ years of experience with provider data, quality assurance, auditing, or related functions 
  • Experience in Non-Emergency Medical Transportation (NEMT) credentialing or a related healthcare field 
  • Working knowledge of credentialing workflows, file documentation standards, and compliance expectations 
  • Experience supporting audits, quality reviews, or monitoring activities 
  • Strong organizational, analytical, and problem-solving skills 
  • Excellent written and verbal communication skills 
  • Advanced Excel (pivot tables, v-lookups, etc.) and proficiency with Adobe for reporting and documentation 
  • High attention to detail and ability to manage multiple priorities 
  • Ability to work independently and collaboratively in a fast-paced environment   

Preferred Qualifications    

  • Experience managing or tracking corrective action plans 
  • Prior experience preparing materials for audits or compliance reviews 
  • Familiarity with credentialing or workflow systems 
  • Experience working in a high-growth or rapidly evolving environment   


Benefits

We offer a remote-first work environment, competitive compensation, and comprehensive benefits including: 

  • Career growth and development opportunities in a mission-driven organization 
  • Competitive salary and annual bonus opportunities 
  • Comprehensive medical, dental, and vision insurance 
  • 401(k) with company match 
  • Generous PTO, paid company holidays, and paid parental leave 



Salary: 1-10

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MR

Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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