Quality Assurance Auditor, Credentialing

5 days ago


Remote, India CertifyOS Full time

**About CertifyOS**:
We are on a mission to change how the US healthcare industry deals with provider data. Our goal is to reduce the cost of healthcare by streamlining access to provider data and reduce administrative and regulatory burden on healthcare organizations.

We have built an API-first, UI-agnostic, end-to-end provider network management platform automating licensing, enrollment, credentialing, and network monitoring. With direct integrations into 100’s of primary sources, we are uniquely positioned to enhance visibility into the entire provider network management process. Our team has more than 25+ years of combined experience building provider data systems at Oscar Health and are backed by top-tier VC firms who share our vision of creating a one-of-a-kind healthcare cloud that removes the friction surrounding provider data..

At CertifyOS, we pride ourselves on fostering a meritocratic environment that ensures every voice has an opportunity to be heard. Founded on the principles of trust, transparency and accountability, we aim to challenge the status quo at every step and are looking for purpose-driven team members to share our journey in redefining Healthcare data infrastructure.

**About the role**:
We are looking for our next core credentialing team member You will play an integral part in ensuring the timely and accurate credentialing of healthcare professionals per company, regulatory, and client requirements. As an early employee, you will have significant responsibility in helping to build infrastructure for a growing team. This is a fully remote role and will report to the Associate Director of Credentialing.

**What you’ll do**:

- Build a comprehensive, effective and efficient audit process
- Perform audit reviews in a timely, efficient, and accurate manner
- Provide constructive feedback and education to peers and assigned teams
- Utilize audit results to identify, document, test the effectiveness of internal
- processes and controls and develop sound conclusions
- Track and trend audit results and notify leadership to administer appropriate team members education and coaching.

**What you’ll need**:

- 2+ years credentialing, provider data management, auditing or healthcare operations experience
- 1 year credentialing auditing experience or similar
- Professional written and verbal communication skills
- Close attention to details and ability to use audit process techniques
- Knowledge of NCQA credentialing standards preferred

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