Credentialing Compliance Analyst — Audit & Enroll Data

Cooper University Health Care; Camden (NJ); On-site; USD 43,000 - 73,000; Full time

Job summary

Cooper University Health Care in Camden, NJ seeks a Compliance Analyst to support provider enrollment credentialing, ensuring regulatory alignment and revenue integrity. You will audit credentialing and recredentialing files, verify data in the Credentialing database, and coach analysts to uphold standards.

Qualifications include 5+ years in healthcare or managed care, strong analytical and communication skills, and proficiency with Microsoft Office (Excel/Word).

Qualifications

• Bachelor's degree preferred; high school diploma required.
• 5+ years of experience in healthcare or managed care environment.
• Proficiency in Microsoft Office, especially Excel and Word.
• Strong analytical and problem-solving abilities.

Responsibilities

• Audit 100% of credentialing and recredentialing files for NCQA/TJC compliance.
• Audit data in the Credentialing database for completeness and accuracy.
• Address audit errors with follow-up actions and correctives.
• Serve as subject-matter expert and coach for Credentialing Analysts.

Skills

Analytical skills

Communication

Spreadsheet literacy

Audit software

Education

High School Diploma

Bachelor's Degree Preferred

Tools

Microsoft Excel

Microsoft Word

Database software

Job description

Cooper University Health Care in Camden, NJ seeks a Compliance Analyst to support provider enrollment credentialing, ensuring regulatory alignment and revenue integrity. You will audit credentialing and recredentialing files, verify data in the Credentialing database, and coach analysts to uphold standards.

Qualifications include 5+ years in healthcare or managed care, strong analytical and communication skills, and proficiency with Microsoft Office (Excel/Word).