Job Summary
The TM-Provider Credentialing role requires a seasoned professional with 10 to 12 years of experience in provider credentialing processes. The candidate will leverage their expertise in Facets - Provider and domain skills in Primary Source Verification and Credentialing Application Processing to ensure compliance and efficiency. This position is based in the office and operates during night shifts requiring proficiency in English.
Responsibilities
Oversee the credentialing process to ensure all providers meet necessary qualifications and standards.Coordinate with various departments to streamline credentialing application processing.Implement best practices in Primary Source Verification to maintain high standards of accuracy.Utilize FacetsProvider to manage and track credentialing data efficiently.Ensure compliance with regulatory requirements and industry standards.Provide detailed reports on credentialing status and progress to management.Collaborate with providers to resolve any credentialing issues or discrepancies.Develop and maintain documentation related to credentialing processes.Conduct audits to verify the accuracy and completeness of credentialing records.Train team members on credentialing procedures and system usage.Monitor industry trends to anticipate changes in credentialing requirements.Facilitate communication between providers and the organization to ensure smooth credentialing operations.Enhance the credentialing process to improve efficiency and reduce turnaround time.
Qualifications
Possess strong expertise in FacetsProvider to manage credentialing data.Demonstrate proficiency in Primary Source Verification to ensure accuracy.Exhibit comprehensive knowledge of Credentialing Application Processing.Have excellent communication skills in English for effective collaboration.Show ability to work efficiently during night shifts in an office setting.Display attention to detail and problem-solving skills in credentialing tasks.Maintain up-to-date knowledge of industry standards and regulatory requirements.
Certifications Required
Certified Provider Credentialing Specialist (CPCS) or equivalent certification relevant to credentialing processes.
私たちについて：
コグニザント（NASDAQ: CTSH）は、AI builderおよびテクノロジーサービスプロバイダとして、AI投資を企業価値へとつなげるフルスタックのAIソリューションを提供しています。業界、業務プロセス、エンジニアリングに関する深い専門性を強みに、各企業固有のコンテキストをテクノロジーシステムに組み込み、人の力を最大限に引き出すとともに、具体的な成果の創出と、急速に変化する世界におけるグローバル企業の競争力維持を支援します。詳しくは、当社ウェブサイト www.cognizant.com をご覧ください。
雇用に関する追加情報
本募集に記載されている報酬情報は、掲載日時点で正確なものです。Cognizantは、適用される法令に従い、いつでも本情報を変更する権利を留保します。
応募者は、対面またはビデオ会議による面接への参加を求められる場合があります。また、各面接の際に、現在有効な州政府または政府発行の身分証明書の提示を求められる場合があります。
Cognizantは機会均等雇用主です。応募および選考において、人種、肌の色、性別、宗教、信条、性的指向、性自認、国籍、障がい、遺伝情報、妊娠、退役軍人の地位、その他連邦法・州法・地方自治体の法律により保護されるいかなる特性に基づく差別も行いません。
