Credentialing Compliance Analyst

Job Summary

To support credentialing compliance monitoring and quality assurance initiatives, the full-time Credentialing Compliance Analyst will conduct audits, analyze data, and ensure adherence to regulatory requirements in a remote environment.

Key responsibilities:

• Assist with credentialing compliance monitoring and payer delegation activities
• Conduct ongoing audits and prepare deliverables for internal and external audit requests
• Create reports and data analysis tools to track compliance metrics and identify opportunities for process improvement

Required qualifications:

• 3+ years of experience in healthcare credentialing compliance, auditing, or quality assurance
• Proficiency in Microsoft Excel, including advanced formulas and data analysis
• Experience conducting credentialing documentation reviews and audits
• Strong understanding of compliance monitoring and regulatory requirements
• High School Diploma or equivalent; Bachelor's Degree preferred