Job Description

Opportunity Description

Do you have a passion for caring for older adults?  If so, you have found the right place to continue your career!   Join our compassionate and dedicated team and make a difference in the lives of our members at their MLTC plan. Our client serves over 15,000 frail and disabled individuals who choose to live in their homes and live independently for as long as possible. As an MLTC credentialing analyst, you will be responsible for obtaining and filing provider credentials per department process. 

 Position is onsite

Free Parking and near public transportation

Company Information

Large MLTC and Continuum of care located in the Bronx, NY

Job Duties

The Credentialing Analyst will specialize in processing provider rosters and updates from delegated providers. Follow-up on pending requests. Maintain and update databases, including provider database and rate tables. Generate data reports. Prepare and process requests for provider contracts, single case agreements, contract amendments, and notices. Review and file provider documents, including provider applications, attestations, and credentials. Maintain provider folders according to department protocol. Assist with Provider Relations activities, including responding to staff and provider inquiries, preparing provider network data for submissions, reviewing submission results and coordinating responses to government inquiries. Assist department lawyers as needed. Complete other duties as required.

Education

Bachelor's Degree or equivalent experience working with Medical Credentialing

Experience & Skills Required

Credentialing experience

Attention to detail

Excellent communications skills

Benefits

HEALTH & INSURANCE BENEFITS*

Medical and Prescription Drug

Company-Paid Dental

Company-Paid Vision

Company-Paid Life Insurance and Accidental Death & Dismemberment

Company-Paid Short-Term Disability

Company-Paid Long-Term Disability

Health Care Flexible Spending Account

Dependent Care Flexible Spending Account

Employee Assistance Plan

Additional Life Insurance options for the employee and family members

Additional Disability options

403(b) Plan, with a generous employer contribution

TIME OFF BENEFITS*

Holidays

Personal Days

Sick Days

Vacation

ADDITIONAL BENEFITS*

Bereavement Days

Cell Phone Discount Plan

Commuter Plan

Jury Duty Days

Marriage Days

Pet Insurance Discount Plan

Tuition Assistance

Wellness Programs

Years of Service Awards

Other Information

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