Credentialing Coordinator

Davita Inc.; Long Beach (CA); Remote; USD 80,000 - 100,000; Full time

Job summary

Davita Inc. is hiring for a role focused on coordinating and overseeing credentialing activities within a healthcare framework. This position emphasizes compliance with state and federal requirements, requiring 1-2 years of relevant experience. Employees earn competitive pay and enjoy various benefits including a bonus program, paid time off, and a strong commitment to diversity and inclusion.

Benefits

Annual employee bonus program

Robust Wellness Program

Generous paid-time-off (PTO)

Excellent 401(k) Retirement Saving Plan

Tuition reimbursement

Qualifications

• 1-2 years Health Plan or related experience.
• Excellent writing skills and clear expression of ideas.
• Able to multitask and work with minimal supervision.

Responsibilities

• Oversee credentialing and re-credentialing activities.
• Conduct audits and network with healthcare organizations.
• Participate in quality committee meetings to report activities.

Skills

Excellent writing skills

Ability to multitask

Work independently

Education

Associate's degree preferred

Job description

Description

About SCAN

SCAN Group is a not-for-profit organization dedicated to tackling the most pressing issues facing older adults in the United States. SCAN Group is the sole corporate member of SCAN Health Plan, one of the nation's leading not-for-profit Medicare Advantage plans, serving more than 285,000 members in California, Arizona, Nevada, and Texas. SCAN has been a mission-driven organization dedicated to keeping seniors healthy and independent for more than 40 years and is known throughout the healthcare industry and nationally as a leading expert in senior healthcare. SCAN employees are a group of talented, passionate professionals who are committed to supporting older adults on their aging journey, while also innovating healthcare for seniors everywhere. Employees are provided in-depth training and access to state-of-the-art tools necessary to do their jobs, as well as development and growth opportunities. SCAN takes great pride in recognizing our team members as experts in their fields and rewarding them for their efforts. If you are interested in becoming part of an organization that is innovating senior healthcare visit www.thescangroup.org, www.scanhealthplan.com, or follow us on LinkedIn; Facebook; and Twitter.

The Job

Coordinate and perform oversight of Credentialing and Re-Credentialing activities in compliance with federal, state and NCQA requirements and guidelines.

You Will

• Coordinates and conducts initial, annual and focus credentialing delegation audits.


• Networks with physician organizations and healthcare delivery organizations.


• Participates in and reports credentialing activities to quality committee meetings.


• Assists and participates in regulatory audits, including preparation of any corrective action plans.


• Assists with review, revision and development of Policies and Procedures.


• Participates and represents SCAN in industry collaborative focus groups.


• Contributes to team effort by accomplishing related results as needed.


• Actively support the achievement of SCAN's Vision and Goals.


• Other duties as assigned.

Your Qualifications

• Associate's degree preferred or comparable combination of education/experience and/or training will be considered equivalent


• 1-2 years Health Plan or related experience.


• Excellent writing skills and the ability to express ideas concisely and clearly orally and in writing.


• Able to multitask, work independently and with minimal supervision.

What's in it for you?

• Base Pay Range: $23.50 - $33.64


• Work Mode: Remote


• An annual employee bonus program


• Robust Wellness Program


• Generous paid-time-off (PTO)


• 11 paid holidays per year, plus 1 additional floating holiday


• Excellent 401(k) Retirement Saving Plan with employer match


• Robust employee recognition program


• Tuition reimbursement


• An opportunity to become part of a team that makes a difference to our members and our community every day!

We're always looking for talented people to join our team! Qualified applicants are encouraged to apply now!

At SCAN we believe that it is our business to improve the state of our world. Each of us has a responsibility to drive Equality in our communities and workplaces. We are committed to creating a workforce that reflects our community through inclusive programs and initiatives such as equal pay, employee resource groups, inclusive benefits, and more.

SCAN is proud to be an Equal Employment Opportunity and Affirmative Action workplace. Individuals seeking employment will receive consideration for employment without regard to race, color, national origin, religion, age, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender perception or identity, age, marital status, disability, protected veteran status or any other status protected by law. A background check is required.

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Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

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For further information, please review the Know Your Rights notice from the Department of Labor.