CertifyOS is hiring a
Quality Assurance Auditor

Summary

The job is for a core credentialing team member at CertifyOS, a healthcare provider data management company. The role involves ensuring timely and accurate credentialing of healthcare professionals, building an audit process, performing audits, providing feedback, and tracking trends. This is a fully remote position.

Requirements

• 2+ years credentialing, provider data management, auditing or healthcare operations experience
• 1 year credentialing auditing experience or similar
• Professional written and verbal communication skills
• Close attention to details and ability to use audit process techniques

Responsibilities

• Build a comprehensive, effective and efficient audit process
• Complete initial and ongoing quality audits for credentialing applications
• Perform audit reviews in a timely, efficient, and accurate manner
• Provide constructive feedback and education to peers and assigned teams
• Utilize audit results to identify, document, test the effectiveness of internal processes and controls and develop sound conclusions
• Track and trend audit results and notify leadership to administer appropriate team members education and coaching

Preferred Qualifications

Knowledge of NCQA credentialing standards preferred