Submission for the position: Credentialing Specialist II - (Job Number: 1325828)
https://centene.taleo.net/careersection/jobdetail.ftl?job=1325828&lang=en
Credentialing Specialist II
You could be the one who changes everything for our 26 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.
Position Purpose: Perform credentialing and related activities based on plan specifications and additional necessary tasks post credentialing
• Perform credentialing and re-credentialing activities according to plan specifications and in compliance with NCQA standards
• Communicate with professionalism with physicians, office managers, providers, and other third parties to secure needed information
• Gather information for Credentialing Committee meetings
• Process, track and file credentialing applications within established standards
• Generate and utilize reporting to support business functions
• Ability to thrive in a fast-paced production environment while maintaining quality
Education/Experience: Associate’s degree in related field or equivalent experience 2 years of provider data management and/or credentialing experience, preferably in a managed care or insurance environment.
Our Comprehensive Benefits Package:
•    Flexible work solutions including remote options, hybrid work schedules and dress flexibility
•    Competitive pay
•    Paid Time Off including paid holidays
•    Health insurance coverage for you and dependents
•    401(k) and stock purchase plans
•    Tuition reimbursement and best-in-class training and development
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Provider Data Management
USA-Florida-Tampa
Schedule: Full-time Location(s): USA-Florida-Tampa