Senior Credentialing Specialist - Hybrid (NY)

Elevance Health, Inc.; Latham (NY); Hybrid; USD 33,000 - 50,000; Full time

Benefits offered by this job

Comprehensive benefits package

Incentive and recognition programs

401k contribution

Job summary

Elevance Health is seeking a Credentialing Specialist Senior in New York to ensure the integrity of credentialing data and provide guidance to credentialing associates. This role operates in a hybrid model with in-office days 1-2 per week, and alternate locations may be considered if within commuting distance.

The salary range for this location is $24.15–$36.23 per hour, with comprehensive benefits and a strong focus on compliance and accreditation issues.

Qualifications

• Requires a HS diploma or equivalent and minimum of 4 years credentialing experience; or any combination of education and experience.

Responsibilities

• Audit the work of credentialing associates.
• Compile and review documentation required by credentialing committee.
• Respond to complex provider credentialing, compliance and accreditation issues.
• Research pending and probated applications and resolve discrepancies.
• Monitor reports identifying practitioners on sanctions or those who do not meet credentialing criteria for further action and assist in researching related issues.
• May assist in delegation oversight and identifies on-going training needs.
• Assist in developing training materials.

Skills

Credentialing experience

Education

HS diploma or equivalent

CPCS

CMSC

Job description

Elevance Health is seeking a Credentialing Specialist Senior in New York to ensure the integrity of credentialing data and provide guidance to credentialing associates. This role operates in a hybrid model with in-office days 1-2 per week, and alternate locations may be considered if within commuting distance.

The salary range for this location is $24.15–$36.23 per hour, with comprehensive benefits and a strong focus on compliance and accreditation issues.