Skip to main content

TM-Provider Credentialing

00067976691



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 Facets
  • Provider 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 Facets
  • Provider 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.


    About us
    Cognizant (Nasdaq: CTSH) is an AI Builder and technology services provider, building the bridge between AI investment and enterprise value by building full-stack AI solutions for our clients. Our deep industry, process and engineering expertise enables us to build an organization’s unique context into technology systems that amplify human potential, realize tangible returns and keep global enterprises ahead in a fast-changing world. See how at www.cognizant.com or @cognizant.

    Additional employment information
    Compensation information is accurate as of the date of this posting. Cognizant reserves the right to modify this information at any time, subject to applicable law.

    Applicants may be required to attend interviews in person or by video conference. In addition, candidates may be required to present their current state or government issued ID during each interview.

    Cognizant is an equal opportunity employer. Your application and candidacy will not be considered based on race, color, sex, religion, creed, sexual orientation, gender identity, national origin, disability, genetic information, pregnancy, veteran status or any other characteristic protected by federal, state or local laws.

    If you have a disability that requires reasonable accommodation to search for a job opening or submit an application, please email [email protected] with your request and contact information.

    Benefits that help you thrive and grow

    Our benefits program is built with you in mind—so you can enjoy a fulfilling, balanced and healthy life.

    a blue line drawing of a plant with leaves

    Financial wellbeing

    We regularly review market data to ensure compensation reflects the value you bring. Your benefits extend beyond pay and may include retirement plans, financial education, etc.

    Stay Healthy Midnight Blue RGB

    Physical and mental health

    We empower you to prioritize your wellbeing through paid time off, flexible working where possible, healthcare plans, counselling, our Mental Health Allyship program and more. 

    Build The Career You Want Midnight Blue RGB

    Your career, your way

    With 350,000+ roles at Cognizant, you’ll have opportunities explore new technologies, industries and locations—and build the skills you need to grow your career.

    Making A Meaningful Impact Midnight Blue RGB

    Real-world impact

    Think about the biggest brands you rely on. Chances are, they rely on us to help strengthen their business. Here, you’ll turn bold ideas into solutions that improve lives everywhere.

    Haven't yet found the right opportunity?

    Get the latest updates on job opportunities, recruitment events and company news—tailored just for you!

    Be in the know