Hybrid Credentialing Analyst, Junior

Posted 3 weeks ago

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About the role

  • Perform the operational credentialing process, maintaining the provider network and onboarding new providers to ensure network adequacy, sizing, and formation.
  • Maintain relationships with providers.
  • Consolidate and organize reports on provider network relations.
  • Contribute to systemic improvements of various processes and/or reports within the area, and conduct effective negotiations with the provider network.
  • Promote, control, and maintain credentialing activity requests in the systems that support these activities.
  • Prepare and keep reports updated to support management of the provider network (global and by cells).

Requirements

  • Bachelor's degree in Business Administration or related fields.
  • Proficiency in Microsoft Office.
  • Experience in credentialing activities within dental and/or health plan operators.
  • Excellent verbal and written communication, teamwork, and strong interpersonal skills.
  • Knowledge of the TUSS table (dental).
  • Experience working in a clinical practice and/or health plan operator.
  • Familiarity with Salesforce.
  • Skill in using and interpreting Power BI.

Benefits

  • Meal allowance or food voucher
  • Discounts on courses, universities and language schools
  • Stefanini Academy - platform with free, up-to-date online courses with certificates
  • Mentoring
  • Perks club for consultations and exams
  • Medical assistance (healthcare coverage)
  • Dental assistance (dental coverage)
  • Perks and discounts club at top establishments
  • Travel club
  • Pet care plan

Job title

Credentialing Analyst, Junior

Job type

Experience level

Junior

Salary

Not specified

Degree requirement

Bachelor's Degree

Location requirements

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