Credentialing Regulatory Manager

Job Summary

A company is looking for a Credentialing Regulatory & Compliance Manager in Operations.

Key Responsibilities:

• Coordinate all regulatory complaints and reaccreditation survey activities
• Assist in the design of new policies and procedures to ensure compliance with regulatory bodies
• Coordinate the development, submission, and monitoring of plans of correction to resolve regulatory findings

Required Qualifications:

• 8+ years of experience in credentialing including demonstrated experience in NCQA audit submission
• Strong organizational and time management skills
• Ability to work independently and as part of a team
• Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint)