Credentialing Audit Supervisor

This is a fully remote position, open to applicants in United States.

📋 Description

• Conduct quality audits and regular evaluations of credentialing files and documentation to ensure precision, thoroughness, and compliance.

• Detect trends, inaccuracies, and process deficiencies through continuous quality assurance and auditing efforts.

• Assist with internal and external audits by collecting documentation, preparing responses, and coordinating audit-related tasks.

• Monitor and manage corrective action plans associated with audit findings, internal assessments, and compliance issues.

• Collaborate with credentialing leadership and cross-functional teams to ensure prompt resolution of challenges.

• Create audit summaries, reports, and supporting documentation for compliance and audit stakeholders.

• Keep well-organized records of audit results, corrective measures, and follow-up actions.

• Develop and refine audit tools, workflows, quality review resources, and standard operating procedures.

• Oversee compliance with credentialing standards, internal controls, and process requirements.

• Clearly communicate audit findings and trends to leadership and stakeholders.

• Assist in process improvement initiatives to boost quality, consistency, and audit preparedness.

• Work with internal teams to address credentialing-related challenges and support operational objectives.

⛳️ Requirements

• Bachelor’s degree or equivalent experience in healthcare operations, credentialing, quality assurance, compliance, or a related discipline.

• A minimum of 3 years of experience in transportation provider credentialing, provider data management, quality assurance, auditing, or similar roles.

• Familiarity with credentialing workflows, documentation standards, and compliance requirements.

• Experience in supporting audits, quality assessments, or monitoring activities.

• Exceptional organizational, analytical, and problem-solving abilities.

• Strong written and verbal communication skills.

• Proficient in Excel and Adobe for reporting and documentation purposes.

• High attention to detail and capability to handle multiple priorities.

• Ability to work both independently and as part of a team in a fast-paced environment.

🏝️ Benefits

• Opportunities for career growth and development within a mission-driven organization.

• Competitive salary along with annual bonus potential.

• Comprehensive medical, dental, and vision insurance coverage.

• 401(k) plan with company matching.

• Generous paid time off, company holidays, and paid parental leave.