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Sr. Provider Compliance Specialist (Remote)

Posted about 10 hours agoViewed

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💎 Seniority level: Senior, Demonstrated experience in managing and auditing provider credentialing

📍 Location: United States

🔍 Industry: Healthcare

🏢 Company: Rula👥 251-500💰 Series C 8 months agoPersonal HealthMental HealthAddiction TreatmentHealth InsuranceWellnessHealth CareHome Health Care

⏳ Experience: Demonstrated experience in managing and auditing provider credentialing

🪄 Skills: SQLData AnalysisAttention to detailDocumentationComplianceProcess improvement

Requirements:
  • Demonstrated experience in managing and auditing provider credentialing—including maintaining up-to-date licenses, certifications, insurance, and training
  • Proficiency with Excel/GSheets, and a willingness to operate and learn new tools and software
  • Excellent verbal and written communication skills, with the ability to collaborate in a cross-functional capacity to solve complex issues
  • Expertise bringing a high attention to detail and process-driven approach to develop, document, and analyze standardized workflows
  • Proven experience in maintaining accurate compliance records and updating state-specific licensing lists, with an understanding of regulatory requirements and KPIs
Responsibilities:
  • Manage and audit provider credentialing—including maintaining up-to-date licenses, certifications, insurance, and training
  • Communicate with our providers important changes to compliance requirements, upcoming renewals, and any adjustments in processes
  • Partner with different cross-functional teams (i.e. sales, clinical operations, provider success, etc.) to drive improvements to credentialing processes that allow providers to practice without administrative burden
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