Healthcare Economics Consultant

Job Summary

Working remotely on a full-time basis, the Senior Healthcare Economics Consultant will manage credentialing and re-credentialing processes for healthcare providers, ensuring compliance with industry standards and maintaining high-quality documentation.

Key responsibilities

• Oversee primary source verification and maintain compliance with TJC, NCQA, CAQH, and CMS standards
• Conduct internal audits on credentialing files and compile Credentialing Committee Minutes
• Monitor and advise medical staff on upcoming renewal dates and credentialing requirements

Required qualifications

• High School Diploma/GED
• 3+ years of Healthcare Provider group/Facility Credentialing experience
• 2+ years of experience in healthcare administration or medical staff services
• Intermediate proficiency with Microsoft Excel and Word
• Ability to work Pacific time zone hours