- Insight Global (New York, NY)
- Job Description Responsibilities: Perform detailed quality audits on credentialing files to ensure compliance with NCQA, TJC, and organizational standards. ... and timeliness of all credentialing data. Ensure credentialing files meet internal SLAs and quality ... and/or payer enrollment experience, with demonstrated exposure to audit or quality review processes. Strong understanding… more
- Molina Healthcare (Yonkers, NY)
- …and accuracy in a timely manner to meet department standards of turnaround time and quality . + Audit loaded provider records for quality and financial ... customers as it pertains to contracting, network management and credentialing . **KNOWLEDGE/SKILLS/ABILITIES** + Receives information from outside party(ies) for… more