Certification Compliance Expert

1 week ago


Ahmedabad, Gujarat, India LETS ENKINDLE SOFTSERV PRIVATE LIMITED Full time
Job Title: Certification Compliance Expert

We are seeking a highly organized and detail-oriented Certification Compliance Expert with specialized knowledge in Medicaid and Managed Care Organizations (MCOs).

The ideal candidate will have 1-3 years of experience, exhibit exceptional attention to detail, and be able to manage credentialing documentation with accuracy.

Key Responsibilities:
  • Medicaid and MCO Credentialing:
    • Manage the credentialing and re-credentialing process for healthcare providers, ensuring compliance with Medicaid regulations and MCO requirements.
    • Collect, verify, and process credentialing documentation for providers.
    • Maintain up-to-date knowledge of MCO policies and Medicaid credentialing requirements.
  • Medicare Credentialing:
    • Oversee the Medicare credentialing process for healthcare providers, ensuring adherence to federal guidelines.
    • Ensure providers meet all necessary qualifications for Medicare participation.
  • Regulatory Compliance:
    • Stay updated on relevant Medicaid, MCO, and Medicare regulations and guidelines.
    • Ensure compliance with state and federal laws governing credentialing processes.
  • Documentation Management:
    • Collect, review, and accurately maintain credentialing documentation, including licenses, certifications, and background checks.
    • Track credentialing timelines, ensuring timely renewals of provider credentials and licenses.
    • Ensure documentation is audit-ready and compliant with all regulatory requirements.
  • Communication & Collaboration:
    • Work closely with internal teams and external stakeholders to ensure a smooth credentialing workflow.
    • Serve as the primary point of contact for inquiries related to credentialing.
  • Data Management:
    • Use credentialing software to manage, update, and track provider credentialing data.
    • Conduct regular audits of credentialing files to maintain data accuracy.
Qualifications:

An Associate's or Bachelor's degree in healthcare administration, business administration, or a related field is preferred.

The ideal candidate should possess strong understanding of Medicaid regulations and MCO credentialing requirements, knowledge of Medicare credentialing processes, attention to detail, excellent organizational skills, strong written and verbal communication skills, ability to handle multiple tasks and meet deadlines, and proficiency in credentialing software and systems.

Estimated Salary Range: ₹8.5 - ₹12 lakhs per annum


  • Tax Compliance Expert

    2 weeks ago


    Ahmedabad, Gujarat, India Sikich India Full time

    About the RoleSikich India is seeking an experienced Tax Compliance Expert to join our team. This role requires a strong understanding of US GAAP general accounting and tax compliance principles.Key ResponsibilitiesPrepare and Review Complex Tax Returns: Utilize tax preparation software to prepare, review and process complex tax returns for exempt...


  • Ahmedabad, Gujarat, India Crédit Agricole CIB Full time

    Job Role: Compliance Monitoring ExpertAs a key member of the Markets Regulatory Compliance Monitoring department at Crédit Agricole CIB, you will play a vital role in identifying, assessing, and monitoring compliance risks to ensure the bank's activities and operations align with legislative and regulatory provisions.Main Responsibilities:- Assess...

  • Compliance Officer

    1 month ago


    Ahmedabad, Gujarat, India Naukripay Full time

    Job Title: Compliance Officer - Regulatory ExpertNaukripay is seeking a highly skilled Compliance Officer - Regulatory Expert to join our team. As a Compliance Officer, you will be responsible for ensuring that our organization complies with laws, regulations, and internal policies.Key Responsibilities:Monitor compliance with laws and regulationsPerform risk...

  • Electrical Engineer

    1 week ago


    Ahmedabad, Gujarat, India Larsen & Toubro Full time

    Job Title: Electrical Engineer - Safety and Compliance ExpertAbout Us: Larsen & Toubro is a global engineering and construction company with a strong focus on safety and compliance.Job Summary: We are seeking an experienced Electrical Engineer to join our team as a Safety and Compliance Expert. The successful candidate will be responsible for ensuring the...

  • Financial Expert

    2 weeks ago


    Ahmedabad, Gujarat, India PayrollCloud India Pvt Ltd Full time

    Job OverviewPayscale: ₹12,00,000 - ₹18,00,000 per annumAbout PayrollCloud India Pvt LtdPayrollCloud India Pvt Ltd is a leading provider of HR payroll and ERP implementation services specializing in Oracle technologies. Our team of experts prides itself on delivering innovative solutions to enhance organizational efficiency and effectiveness.Job...

  • Taxation Specialist

    4 days ago


    Ahmedabad, Gujarat, India WorkQuest India Full time

    WorkQuest IndiaJob Title: Taxation Specialist - Financial Compliance ExpertLocation: [Assuming a location in India]Salary: ₹8,00,000 - ₹12,00,000 per annumJob Description:OverviewWe are seeking an experienced Taxation Specialist - Financial Compliance Expert to join our team at WorkQuest India. This role is responsible for ensuring compliance with tax...


  • Ahmedabad, Gujarat, India Dev Information Technology Ltd Full time

    Job Overview : We are seeking a highly skilled IT Compliance Specialist to provide expert guidance to our client's information security program. This position will work closely with our IT team to assess risks, develop security strategies, and implement best practices to safeguard our information assets.Key Responsibilities :1. Risk Management : Conduct...


  • Ahmedabad, Gujarat, India Tip Sons Full time

    Compliance Management:At Tip Sons, we are committed to upholding the highest standards of corporate governance and regulatory compliance. As our Compliance Officer, you will play a pivotal role in ensuring our adherence to SEBI guidelines, exchange regulations, and the Companies Act. Your responsibilities will include:• Conducting periodic reviews to...


  • Ahmedabad, Gujarat, India Jindal Texofab ltd Full time

    At Jindal Texofab ltd, we seek an experienced Export Documentation Expert to join our team.About the RoleThe ideal candidate will have a strong understanding of export regulations and tax compliance. They will be responsible for ensuring that all shipments comply with relevant regulations and laws.ResponsibilitiesProvide consultation services to clients on...


  • Ahmedabad, Gujarat, India Nibodhah Full time

    Company OverviewNibodhah is a leading organization that strives for excellence in delivering timely and accurate services to its stakeholders.SalaryWe offer an attractive salary of $80,000 per annum, commensurate with industry standards.Job DescriptionAs a Tax Compliance Specialist - Corporate Tax Expert, you will be responsible for ensuring accurate and...


  • Ahmedabad, Gujarat, India WorkQuest India Full time

    Job Title: GST and FEMA Compliance Specialist - Regulatory ExpertWe are seeking an experienced GST and FEMA Compliance Specialist to join our team at WorkQuest India. The successful candidate will be responsible for the preparation and filing of various types of GST returns, reconciliation of GST returns/forms with books of accounts, and the preparation and...


  • Ahmedabad, Gujarat, India LETS ENKINDLE SOFTSERV PRIVATE LIMITED Full time

    Credentialing Specialist Job OverviewAs a Credentialing Specialist at LETS ENKINDLE SOFTSERV PRIVATE LIMITED, you will play a critical role in ensuring the compliance of our healthcare providers with Medicaid and Medicare regulations. Your expertise in Medicaid and MCO credentialing processes will be instrumental in managing and processing credentialing...


  • Ahmedabad, Gujarat, India Tesk Training Consultancy Full time

    Job SummaryTesk Training Consultancy is seeking a motivated and detail-oriented Direct Tax Associate to join our team. As a key member of the tax team, you will play a pivotal role in the first-time implementation of direct tax strategies.About UsWe are a leading training consultancy with a strong focus on delivering high-quality services to our clients. Our...

  • Taxation Expert

    2 weeks ago


    Ahmedabad, Gujarat, India Sikich India Full time

    We are seeking a Taxation Expert to join our team at Sikich India. As a Taxation Expert, you will be responsible for preparing and reviewing tax returns, ensuring compliance with federal, state, and local regulations.Job Description:Prepare and review all types of U.S. Income Tax Returns and ensure compliance with federal, state, and local...


  • Ahmedabad, Gujarat, India Talentiify HR Consulting Full time

    About the RoleTalentiify HR Consulting is seeking an experienced Tax Compliance Specialist to join our team. In this role, you will be responsible for conducting thorough reviews of US Tax returns, ensuring accuracy and compliance with regulations.Key ResponsibilitiesUS Tax Return Reviews: Conduct detailed examinations of corporate tax returns to ensure they...

  • Compliance Officer

    3 weeks ago


    Ahmedabad, Gujarat, India Naukripay Full time

    Compliance Officer Role at NaukripayNaukripay is seeking a Compliance Officer to join our team. This role will be responsible for ensuring the company complies with legal and internal requirements.Key Responsibilities:Monitoring compliance with laws and regulationsPerforming risk assessments and audits to identify compliance risksInforming employees about...


  • Ahmedabad, Gujarat, India Crédit Agricole CIB Full time

    Company Overview:Crédit Agricole CIB is a leading financial institution that operates globally, providing innovative banking solutions to its clients. Our organization values expertise, professionalism, and integrity, ensuring the highest standards of compliance with regulatory requirements.About the Role:The Markets Regulatory Compliance Monitoring...

  • Compliance Specialist

    3 weeks ago


    Ahmedabad, Gujarat, India Matrix Partners India Full time

    Compliance Officer RoleZ47, an investment firm with approximately $1.5 billion of committed capital in India, is seeking a Compliance Officer for its GIFT City office. This senior role involves ensuring compliance with GIFT City IFSCA and SEBI AIF regulations, as well as spearheading compliance and risk management activities.Key Responsibilities:Ensure...


  • Ahmedabad, Gujarat, India Skillflix Consultancy India Private Limited Full time

    Job Title: Compliance OfficerAt Skillflix Consultancy India Private Limited, we are seeking a highly skilled Compliance Officer to join our team. The ideal candidate will have a deep understanding of the IFSCA and SEZ regulations, as well as the ability to resolve investor complaints effectively.Develop and implement compliance procedures to ensure the...


  • Ahmedabad, Gujarat, India Tesk Training Consultancy Full time

    About the JobTesk Training Consultancy is seeking a skilled GST Compliance Specialist to join our team. As a GST Compliance Specialist, you will be responsible for ensuring timely and accurate filing of GST Annual Returns, Monthly Returns, and Quarterly Returns.Key Responsibilities:Filing GST returns in compliance with all regulations and deadlines.Assisting...