Credentialing Audit Supervisor

Veracity Selfcare; United States; On-site; USD 70,000 - 90,000; Full time

Benefits offered by this job

Career growth opportunities

Competitive salary

Comprehensive medical, dental, and vision insurance

401(k) with company match

Generous PTO and paid parental leave

Job summary

Veracity Selfcare is looking for a Credentialing Audit Supervisor to ensure audit readiness across the Credentialing function. The role involves performing quality audits of credentialing files, supporting internal and external audits, and coordinating corrective actions. Ideal candidates will have a bachelor’s degree and over three years of experience in related fields.

This position offers a competitive salary, comprehensive benefits including medical insurance, 401(k) with company match, generous PTO, and opportunities for career growth in a mission-driven organization.

Qualifications

• 3+ years of experience in transportation provider credentialing or quality assurance.
• Working knowledge of credentialing workflows and compliance expectations.
• Experience supporting audits or quality reviews.

Responsibilities

• Perform quality audits and reviews of credentialing files.
• Identify trends and process gaps in quality assurance.
• Support internal and external audits and track corrective actions.

Skills

Organizational skills

Analytical skills

Problem-solving skills

Written communication

Verbal communication

Excel proficiency

Attention to detail

Education

Bachelor’s degree in healthcare operations or related field

Tools

Excel

Adobe

Job description

About the Role

SafeRide Health is seeking a Credentialing Audit Supervisor to support audit readiness across the Credentialing function. This role ensures credentialing activities are completed accurately, timely, and in alignment with internal policies, client expectations, and regulatory requirements. You will play a key role in reviewing credentialing work for quality and compliance, supporting internal and external audits, coordinating corrective action efforts, and preparing materials for Compliance stakeholders. This position directly impacts audit readiness, quality performance, and the effectiveness of SafeRide’s credentialing operations.

Job Responsibilities

• Perform quality audits and routine reviews of credentialing files and documentation to ensure accuracy, completeness, and compliance
• Identify trends, errors, and process gaps through ongoing quality assurance and audit activities
• Support internal and external audits by gathering documentation, preparing responses, and coordinating audit-related activities
• Track and coordinate corrective action plans related to audit findings, internal reviews, and compliance concerns
• Partner with credentialing leadership and cross-functional teams to ensure timely resolution of issues
• Prepare audit summaries, reports, and supporting materials for compliance and audit stakeholders
• Maintain organized records of audit findings, corrective actions, and follow-up activities
• Develop and update audit tools, workflows, quality review materials, and standard operating procedures
• Monitor adherence to credentialing standards, internal controls, and process requirements
• Communicate audit findings and trends clearly to leadership and stakeholders
• Support process improvement initiatives to enhance quality, consistency, and audit readiness
• Collaborate with internal teams to resolve credentialing-related issues and support operational goals

Required Qualifications

• Bachelor’s degree or equivalent experience in healthcare operations, credentialing, quality assurance, compliance, or a related field
• 3+ years of experience in transportation provider credentialing, provider data, quality assurance, auditing, or related functions
• Working knowledge of credentialing workflows, file documentation standards, and compliance expectations
• Experience supporting audits, quality reviews, or monitoring activities
• Strong organizational, analytical, and problem‑solving skills
• Excellent written and verbal communication skills
• Proficiency in Excel and Adobe for reporting and documentation
• High attention to detail and ability to manage multiple priorities
• Ability to work independently and collaboratively in a fast‑paced environment

Preferred Qualifications

• Experience in Non‑Emergency Medical Transportation (NEMT) credentialing or a related healthcare field
• Experience managing or tracking corrective action plans
• Prior experience preparing materials for audits or compliance reviews
• Familiarity with credentialing or workflow systems
• Experience working in a high‑growth or rapidly evolving environment

Benefits

• Career growth and development opportunities in a mission‑driven organization
• Competitive salary and annual bonus opportunities
• Comprehensive medical, dental, and vision insurance
• 401(k) with company match
• Generous PTO, paid company holidays, and paid parental leave