Professional analyst
At MVP Health Care, we're on a mission to create a healthier future for everyone - which requires innovative thinking and continuous improvement. To achieve this, we're looking for a [ Job Title ] to join #TeamMVP. This is the opportunity for you if you have a passion for [INCLUDE 2-3 ITEMS, SUCH AS health equity, your knack for strategic engagement, and your love for your community].
What's In It For You- Growth opportunities to uplevel your career
- A people-centric culture embracing and celebrating diverse perspectives, backgrounds, and experiences within our team
- Competitive compensation and comprehensive benefits focused on well-being
- An opportunity to shape the future of health care by joining a team recognized as a Best Place to Work For in the NY Capital District, one of the Best Companies to Work For in New York, and an Inclusive Workplace.
- Associate's or Bachelor's degree in a related field (e.g., healthcare administration, business, or HR) preferred.
- 2+ years of experience in credentialing, compliance, or quality assurance.
- Experience in healthcare or insurance credentialing preferred.
- Strong attention to detail and analytical skills.
- Familiarity with credentialing software and databases.
- Knowledge of regulatory standards (e.g., NCQA, URAC, Joint Commission) is a plus.
- Excellent communication and organizational skills.
- Ability to work independently and collaboratively in a fast-paced environment.
- Proficiency in Microsoft Office Suite (Word, Excel, Outlook).
- Understanding of data privacy and confidentiality standards.
- Curiosity to foster innovation and pave the way for growth
- Humility to play as a team
- Commitment to being the difference for our customers in every interaction
- Conduct thorough quality control reviews of credentialing/recredentialing files and documentation.
- Verify credentials, licenses, certifications, and other required documentation for accuracy and compliance.
- Collaborate with credentialing specialists to resolve discrepancies and ensure timely updates.
- Maintain detailed records of QC findings and corrective actions.
- Assist in developing and refining QC procedures and checklists.
- Monitor compliance with internal policies, accreditation standards, and regulatory requirements.
- Provide feedback and training to credentialing staff on quality standards and best practices.
- Support audits and reporting requirements related to credentialing activities.
- Stay current with industry standards, regulations, and credentialing best practices.
- Contribute to our humble pursuit of excellence by performing various responsibilities that may arise, reflecting our collective goal of enhancing healthcare delivery and being the difference for the customer.
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