- Pittsburgh, Pennsylvania, United States
- Hybrid
- Full-time · Associate
The Credentialing Analyst will handle credentialing duties within Community Care, ensuring accurate completion and maintenance of credentialing files through the entire process, including interacting with external agencies.
Responsibilities
- Provide support to Data Management including but not limited to spreadsheet maintenance, license, degree and insurance product data query in contract and credentialing
- Demonstrate knowledge of state, federal, and NCQA regulations concerning credentialing
- Complete provider complaint documentation
- Identify problems/issues associated with the credentialing process
- Coordinate site visit completion with Credentialing Analyst responsible for this task