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Sr. Credentialing Rep

Job Description Job ProfileJob Title: Sr. Credentialing RepresentativeLocation: Minneapolis MN 55440-9472Hire Type: ContingentPay Range: $30/hr.Work Model: Remote/onsite only twice a yearWork Shift: Monday-Friday 8:00 am -5:00 pmRecruiter Contact: Sean Craft I sean@marykraft.com I 443-345-3305Nature & Scope:Positional OverviewThe Sr. Credentialing Representative will play a key role within the Credentialing Compliance team, ensuring compliance with regulatory, accreditation, and payor requirements. This position supports internal and external audits, accreditation surveys, sanction monitoring, reporting, and sub-delegation oversight. The role requires strong organizational and communication skills, the ability to prioritize in a fast-paced environment, and a collaborative approach to supporting both the Credentialing Compliance team and the larger Credentialing department.Role & Responsibility:Tasks That Will Lead To Your SuccessPerform ongoing sanction monitoring of providers and entities.Prepare and maintain accurate credentialing reports and documentation.Conduct oversight of sub-delegated entities, ensuring compliance with delegation requirements.Support internal and external audit processes and accreditation surveys.Serve as on-site liaison for audits as needed.Prepare materials and deliverables for the Credentialing Committee.Provide administrative and compliance support to the Credentialing Compliance team.Respond to internal and external inquiries in a timely and professional manner.Participate in special projects and other duties as assigned.Skills & ExperienceQualifications That Will Help You ThriveHigh School Diploma or GED required.CPCS (Certified Provider Credentialing Specialist) certification is preferred.Credentialing background strongly preferred; healthcare industry experience desirable.Strong verbal and written communication skills.Proficiency in Microsoft Office Suite, especially Excel.Ability to work independently and collaboratively in a team environment.Strong organizational skills with the ability to prioritize and manage multiple tasks in a fast-paced setting.Positive attitude, reliability, and willingness to learn.