Health Care Service Corporation
Delegation Oversight Coordinator Credentialing
Health Care Service Corporation, Richardson, Texas, United States, 75080
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Delegation Oversight Coordinator Credentialing
role at
Health Care Service Corporation . This position is responsible for leading, coordinating, and participating in Credentialing delegation oversight audits of HCSC’s vendors, service providers, medical groups, and/or delegated subcontracted providers, reviewing adherence to regulatory and contractual requirements. The role involves developing audit tools based on Credentialing/Re-credentialing operations, state and federal regulations, conducting reviews in accordance with accreditation standards and Credentialing guidelines, creating reports, analyzing audit findings, and developing corrective actions. Required Job Qualifications: Associate Degree in Business or Medical OR 3+ years’ experience in a managed care environment. 2 years in a leadership role with direct accountability and staff management. 4 years’ experience in Credentialing operations or delegated oversight activities. 4 years auditing Credentialing files or operations. Project Management skills and experience. Knowledge of regulatory/accreditation standards (Department of Insurance, NCQA, URAC). Strong verbal and written communication skills. Organizational skills and ability to handle multiple priorities. Proficiency in Word, Excel, PowerPoint, Adobe Acrobat, and Outlook. Ability to travel up to 30-40%, including overnight stays. Preferred Job Qualifications: Bachelor Degree in Business or Medical. Knowledge of PowerPoint, Visio, and Access. Courses or certification in project management. Compensation ranges from $49,800 to $110,000, depending on skills, experience, and location. HCSC Employment Statement:
We are an Equal Opportunity Employer committed to a diverse and inclusive environment. All qualified applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other protected characteristics. Learn more about benefits at
https://careers.hcsc.com/totalrewards .
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Delegation Oversight Coordinator Credentialing
role at
Health Care Service Corporation . This position is responsible for leading, coordinating, and participating in Credentialing delegation oversight audits of HCSC’s vendors, service providers, medical groups, and/or delegated subcontracted providers, reviewing adherence to regulatory and contractual requirements. The role involves developing audit tools based on Credentialing/Re-credentialing operations, state and federal regulations, conducting reviews in accordance with accreditation standards and Credentialing guidelines, creating reports, analyzing audit findings, and developing corrective actions. Required Job Qualifications: Associate Degree in Business or Medical OR 3+ years’ experience in a managed care environment. 2 years in a leadership role with direct accountability and staff management. 4 years’ experience in Credentialing operations or delegated oversight activities. 4 years auditing Credentialing files or operations. Project Management skills and experience. Knowledge of regulatory/accreditation standards (Department of Insurance, NCQA, URAC). Strong verbal and written communication skills. Organizational skills and ability to handle multiple priorities. Proficiency in Word, Excel, PowerPoint, Adobe Acrobat, and Outlook. Ability to travel up to 30-40%, including overnight stays. Preferred Job Qualifications: Bachelor Degree in Business or Medical. Knowledge of PowerPoint, Visio, and Access. Courses or certification in project management. Compensation ranges from $49,800 to $110,000, depending on skills, experience, and location. HCSC Employment Statement:
We are an Equal Opportunity Employer committed to a diverse and inclusive environment. All qualified applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other protected characteristics. Learn more about benefits at
https://careers.hcsc.com/totalrewards .
#J-18808-Ljbffr