Credentialing Analyst
A company is looking for a Credentialing & Contracting Analyst to support revenue cycle operations across two distinct business lines.
Key Responsibilities
Manage end-to-end provider credentialing and re-credentialing for clinical staff
Support the development and execution of payer contracting strategy and maintain a centralized contract repository
Track and report on credentialing and contracting KPIs and ensure compliance with state-specific regulations
Required Qualifications
3-5 years of experience in provider credentialing and/or payer contracting in a healthcare organization
Knowledge of government and commercial payer enrollment processes, including Medicare and Medicaid
Proficiency with CAQH ProView and at least one credentialing management platform
Strong organizational skills to manage multiple providers and deadlines simultaneously
Experience working in multi-state provider environments