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Resp & Qualifications
PURPOSE:
We are looking for an experienced professional to work remotely from within the greater Baltimore metropolitan area. The incumbent will be expected to come into a CareFirst location periodically for meetings, training and/or other business related activities.
The Credentialing Program Specialist is responsible for monitoring, oversight, and reporting to ensure Credentialing Program compliance and completion of an array of tasks to support compliance with all NCQA Credentialing standards and regulatory timeframes for credentialing and re-credentialing transactions. The incumbent may be involved in collaboration and coordination of deliverables with Medical Directors, the Credentialing Advisory Committee (CAC), and the Quality Improvement Council.
ESSENTIAL FUNCTIONS:
QUALIFICATIONS:
Education Level: Bachelor's Degree in Business or Healthcare related field OR in lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience.
Experience: 5 years experience in credentialing and re-credentialing.
Knowledge, Skills and Abilities (KSAs)
Salary Range: $47,520 - $94,380
Salary Range Disclaimer
The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilites of the position, the candidate's work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case's facts and circumstances, including but not limited to experience, internal equity, and location. In addition to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements).
Department
PROVIDER INFORMATION AND CREDENTIAL
Equal Employment Opportunity
CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer. It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.
Where To Apply
PeopleSoft/Self Service/Recruiting
Closing Date
Please apply before:12.17.23
Federal Disc/Physical Demand
Note: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs.
PHYSICAL DEMANDS:
The associate is primarily seated while performing the duties of the position. Occasional walking or standing is required. The hands are regularly used to write, type, key and handle or feel small controls and objects. The associate must frequently talk and hear. Weights up to 25 pounds are occasionally lifted.
Sponsorship in US
Must be eligible to work in the U.S. without Sponsorship
#LI-NH2
Full Time
$41k-52k (estimate)
02/18/2024
05/13/2024
CAREFIRST.COM
Owings Mills, MD
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