Credentialing Associate (contract)

Full Time
Remote
Posted
Job description

Be part of an Extraordinary Team


Elevance Health
is a health company dedicated to improving lives and communities – and making healthcare simpler. Previously known as Anthem, Inc., we have evolved into a company focused on whole health and updated our name to better reflect the direction the company is heading.


We are looking for contract workers (via BCforward)
who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?


Primary duties may include, but are not limited to:


  • Processes credentialing and re-credentialing files in accordance with Company and departmental policies and procedures and in compliance with state and federal laws and regulations and accrediting organization standards.
  • Assures the confidentiality and integrity of all aspects of the credentialing program and process including communication of information regarding participating providers to Medical Directors, Credentials Committee and other internal departments, as well as database management, provider relations and contracting.
  • May be utilized within the Credentialing Database Operations unit or the Credentialing Policy Committee unit to support the company's entire credentialing process.


Requirements:

  • High school diploma or GED; one year of office experience in a health care environment; or any combination of education and experience, which would provide an equivalent background.


Additional Details:


  • Experience with credentialing activities including, (Initial PSV, Add a Plans, Certification Review) Knowledge Cactus is preferred
  • Work schedule Monday-Friday 8am-4pm


An Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability.


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