Credentialing Oversight Senior Specialist
A company is looking for a Credentialing Delegation Oversight Senior Specialist. Key Responsibilities Conduct and document credentialing delegation assessments to ensure compliance with regulations Evaluate performance of delegated entities and review reports for accuracy and completeness Identify deficiencies in delegated activities and develop corrective action plans Required Qualifications Bachelor's Degree in Healthcare Administration, Business, or a related field, or equivalent experience Minimum 3 years of experience in a managed care or health plan environment At least 1 year of direct experience in conducting delegation oversight assessments or audits Experience with compliance monitoring and audit processes Data analysis and reporting experience required
A company is looking for a Credentialing Delegation Oversight Senior Specialist.
Key Responsibilities
Conduct and document credentialing delegation assessments to ensure compliance with regulations
Evaluate performance of delegated entities and review reports for accuracy and completeness
Identify deficiencies in delegated activities and develop corrective action plans
Required Qualifications
Bachelor's Degree in Healthcare Administration, Business, or a related field, or equivalent experience
Minimum 3 years of experience in a managed care or health plan environment
At least 1 year of direct experience in conducting delegation oversight assessments or audits
Experience with compliance monitoring and audit processes
Data analysis and reporting experience required
