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3 days ago
We are seeking a Quality Assurance Professional to lead our quality assurance efforts. The ideal candidate will have a minimum of 5-9 years of experience in provider enrollment and contracting.
About the Role:
- Develop and implement end-to-end process management for provider enrollments, insurance credentialing, and contracting
- Maintain knowledge of provider credentialing and its impact on revenue cycle
- Analyzing data from Test Management tools - Rational Tool suite, JIRA
- Effective communication with cross-functional teams
- Preparing test plans, test scripts, and test results; providing status reports
- Experience with Medicare or commercial claims adjudication
Requirements:
- 5-9 years of experience in quality engineering
- Strong understanding of provider credentialing and revenue cycle processes
- Proficiency in Test Management tools and analytical software
- Excellent written and verbal communication skills
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