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Credentialing Analyst
Responsibilities
- Review the approval and termination of professional provider contracts as they relate to the credentialing process.
- Ensure the accurate and timely information for the purposes of re-credentialing, data analysis and directory generation as well as recommending changes to the credentialing criteria and processes.
- Maintain all credentialing and re-credentialing policies and processes to ensure that they are in compliance with and all applicable regulations.
- Develop and implement departmental goals and objectives with input from staff members.
- Develop and implement departmental policies and procedures that guide and support the provision of services.
- Interact with all customers to ensure prompt and accurate communication as needed to provide the service expected and to meet the goals of the service.
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