Credentialing Oversight Senior Specialist

Job Summary

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