Credentialing Analyst jobs in United States
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ICONMA · 20 hours ago

Credentialing Analyst

ICONMA is a company that provides staffing solutions, and they are seeking a Credentialing Analyst for their Remote location. The role involves assisting with credentialing tasks, preparing deliverables for audits, and ensuring compliance with regulatory requirements.

Staffing & Recruiting
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H1B Sponsor Likelynote

Responsibilities

Assists in the preparation of deliverables for payer and internal audit requests
Assist with credentialing tasks as needed
Building and maintaining effective, positive internal and external customer relationships
Conducting ongoing monitoring to evaluate levels of regulatory credentialing and delegated payer compliance with contractual and requirements
Exhibiting Client Heart at Work Behaviors
Participating in team initiatives and projects and meeting deadlines and quality expectations
Participates in the development and ongoing implementation of quality improvement activities. Improve quality products and services, by using measurements and analysis to process, evaluate and make recommendations to meet QM compliance objectives
Performing credentialing business process functions as needed, performing scheduled and random credentialing file audits
Reviewing risk assessments while participating in ongoing monitoring and annual program evaluation and identification of areas where there can be process improvement

Qualification

Credentialing complianceAuditingQuality assuranceMicrosoft OfficeNCQA complianceMulti-taskingData analysisMD Staff experienceBachelor’s DegreeAttention to detail

Required

3+ years of related health care or health plan experience in credentialing compliance, auditing, and quality assurance
Proficient in Microsoft Office Applications; Excel, Outlook, Word, and Teams
The ability to create spreadsheets, analyze data and identify trends
Strong attention to detail and the ability to multi-task in a fast-paced environment
2 years' experience with NCQA compliance
1 year MD Staff experience
Verifiable high school diploma or GED required

Preferred

MD Staff experience is preferred
Bachelor's Degree (preferred)

Benefits

Health Benefits
Referral Program

Company

ICONMA: Your Partner in Global Staffing Solutions and Digital Transformation ICONMA is a globally recognized, Woman-Owned staff augmentation and technology consulting firm.

H1B Sponsorship

ICONMA has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (19)
2024 (31)
2023 (26)
2022 (39)
2021 (37)
2020 (69)

Funding

Current Stage
Late Stage

Leadership Team

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Claudine George
Founder and CEO of ICONMA, LLC
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Company data provided by crunchbase