Quality Improvement Specialist- Credentialing

Peak Performers has partnered with a managed care organization to assist in their search for a Quality Improvement Specialist- Credentialing. In this contract role you will support and assist the credentialing function for the team. Major duties • Monitor the queue and process for the credentialing and re-credentialing of various providers • Prepare files for credentialing documentation • Generate letters to providers in accordance with departmental workflows • Respond to internal and external customer inquiries regarding credentialing status • Provide various administrative support to the Credentialing function • Ensure all credentialing files are prepared for Credentialing Committee meetings What are we looking for? • High School Diploma • 1-2 experience in credentialing/call center experience • Familiar with CAQH and NPDB • Knowledge of state regulations. Exciting Opportunity Details • Rate: $21.39/hour • W2 Contract • Worksite Location: Remote in PST State • 3 month contract with opportunity to extend The Peak Performers difference • Excellent medical health, dental & vision insurance at 60 days • Our employees may choose to participate in a 403(b) retirement plan • We pay weekly through direct deposit • In business since 1994 and thousands of job placements All employment offers are contingent on the successful completion of a pre-employment criminal background check, in compliance with all applicable federal and state laws. Applicants for employment with Peak Performers must possess work authorization that does not require sponsorship for a visa now or in the future. Peak Performers is an equal opportunity employer and will consider all applicants without regard to race, marital status, sex, age, color, religion, national origin, veteran status, disability or any other characteristic protected by law. Peak Performers does not accept unsolicited resumes from headhunters, recruitment agencies or fee-based recruitment services. Hv50885793 Apply tot his job Apply To this Job