OCHIN
Employer Industry: Healthcare Innovation
Why consider this job opportunity:
Opportunity for career advancement and growth within the organization Generous compensation package with a focus on employee well-being Work remotely from anywhere across the 49 states Supportive and collaborative work environment Chance to make a meaningful impact on healthcare access in underserved communities What to Expect (Job Responsibilities):
Process initial credentialing and recredentialing applications in compliance with regulatory requirements Review and analyze credentialing applications and supporting documents for accuracy and completeness Validate and verify provider credentials through appropriate verification sources Identify discrepancies in information and elevate unresolved issues Complete payor provider enrollment processes and maintain provider data within the credentialing system What is Required (Qualifications):
Proven experience in credentialing, privileging, or related healthcare processes Familiarity with regulatory requirements such as NCQA, HRSA/FTCA, and CMS Strong attention to detail and organizational skills Excellent communication and interpersonal skills Ability to manage multiple tasks and prioritize effectively How to Stand Out (Preferred Qualifications):
Experience with CAQH profiles and NPPES registrations Background in working with diverse healthcare providers or organizations Knowledge of healthcare payor enrollment processes Understanding of healthcare compliance and regulatory standards "We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately. We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer."
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Opportunity for career advancement and growth within the organization Generous compensation package with a focus on employee well-being Work remotely from anywhere across the 49 states Supportive and collaborative work environment Chance to make a meaningful impact on healthcare access in underserved communities What to Expect (Job Responsibilities):
Process initial credentialing and recredentialing applications in compliance with regulatory requirements Review and analyze credentialing applications and supporting documents for accuracy and completeness Validate and verify provider credentials through appropriate verification sources Identify discrepancies in information and elevate unresolved issues Complete payor provider enrollment processes and maintain provider data within the credentialing system What is Required (Qualifications):
Proven experience in credentialing, privileging, or related healthcare processes Familiarity with regulatory requirements such as NCQA, HRSA/FTCA, and CMS Strong attention to detail and organizational skills Excellent communication and interpersonal skills Ability to manage multiple tasks and prioritize effectively How to Stand Out (Preferred Qualifications):
Experience with CAQH profiles and NPPES registrations Background in working with diverse healthcare providers or organizations Knowledge of healthcare payor enrollment processes Understanding of healthcare compliance and regulatory standards "We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately. We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer."
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