Remote Credentialing Lead - Healthcare Compliance

betterhelpcom; United States; À distance; USD 65 000 - 90 000; Plein temps

Avantages offerts par ce poste

Remote work

Competitive pay

Wellness program

Health/Dental/Vision

Résumé du poste

BetterHelp is seeking a Credentialing Specialist to lead the credentialing associate team, train staff, document workflows, and drive process improvements. You will collaborate with the Credentialing Team Lead and TekSystems to monitor performance and answer questions from BH teams, while expanding the efficiency of credentialing operations.

The role supports remote work across the U.S. with opportunities for in-person collaboration and travel as needed, and requires strong NCQA knowledge and

Qualifications

• 1+ years of experience in healthcare credentialing, operations, or administrative support in a payer or provider setting.
• Strong understanding of NCQA credentialing requirements and best practices.
• Proficiency with Microsoft Excel/Google Sheets and experience with CRM or credentialing software (e.g., CAQH, Verifable).

Responsabilités

• Supervision of the credentialing associate team
• Training of the credentialing associate team
• Documentation of all BetterHelp Insurance Credentialing processes
• Analyze and update processes to improve as needed
• Provide day-to-day guidance, training, and support to credentialing associates and internal BetterHelp team
• Identify and problem solve inefficiencies in credentialing and recredentialing processes
• Develop and maintain the credentialing team's relationship with other BetterHelp Teams
• Track application statuses, credentialing deadlines, and recredentialing timelines to ensure timely completion
• Analyze and update processes to improve timelines
• Maintain accurate and up-to-date provider information in internal databases and Verifiable
• Liaise with CVO to resolve any issues or delays in the credentialing process
• Provide regular updates to leadership on key metrics and process improvements

Connaissances

Healthcare credentialing

NCQA knowledge

Excel/Sheets

CRM/credentialing software

Organizational skills

Behavioral health

Outils

CAQH

Verifable

Description du poste

BetterHelp is seeking a Credentialing Specialist to lead the credentialing associate team, train staff, document workflows, and drive process improvements. You will collaborate with the Credentialing Team Lead and TekSystems to monitor performance and answer questions from BH teams, while expanding the efficiency of credentialing operations.

The role supports remote work across the U.S. with opportunities for in-person collaboration and travel as needed, and requires strong NCQA knowledge and