Associate Specialist, Corp Credentialing

Are you passionate about ensuring that healthcare providers meet the highest standards of quality and compliance? Are you detail-oriented and experienced in credentialing processes? Molina Healthcare is seeking an Associate Specialist of Corporate Credentialing to join our dynamic team. As a member of our credentialing department, you will play a crucial role in verifying the qualifications and credentials of our network of providers. Your expertise and attention to detail will help us maintain compliance with regulatory requirements and uphold our commitment to providing high-quality healthcare services. Join us in our mission to improve the health and well-being of our members and communities.

1. Conduct thorough and accurate reviews of provider credentials, including education, training, licensure, and certifications.
2. Ensure all providers meet regulatory and organizational requirements for participation in the network.
3. Maintain up-to-date and accurate provider information in the credentialing database.
4. Communicate with providers and other internal departments to obtain necessary documentation and resolve any discrepancies or issues.
5. Collaborate with the compliance team to ensure adherence to all regulatory standards and guidelines.
6. Continuously monitor and track expiring credentials and take necessary actions to ensure timely renewals.
7. Conduct audits and participate in credentialing committee meetings to ensure compliance and identify areas for improvement.
8. Stay updated on industry changes and best practices related to credentialing processes.
9. Support the development and implementation of policies and procedures to improve efficiency and effectiveness of the credentialing process.
10. Demonstrate a high level of professionalism and maintain confidentiality in handling sensitive information.

According to JobzMall, the average salary range for a Associate Specialist, Corp Credentialing in Louisville, KY, USA is between $41,000 and $55,000 per year. This range can vary depending on factors such as experience, education, and the specific industry or company the individual is working for. Additionally, bonuses and benefits may also be included in the overall compensation package for this position.

Molina Healthcare is a managed care company headquartered in Long Beach, California, United States. The company provides health insurance to individuals through government programs such as Medicaid and Medicare.