Credentialing Compliance Analyst

3 weeks ago


Camden, United States Cooper University Health Care Full time

About Us:

At Cooper University Health Care, our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols. We have a commitment to its employees by providing competitive rates and compensation, a comprehensive employee benefits programs, attractive working conditions, and the chance to build and explore a career opportunity by offering professional development.

Discover why Cooper University Health Care is the employer of choice in South Jersey.

Short Description:

Provide key support and analysis to the provider enrollment credentialing process which directly impact the ability of CUHC to bill for services rendered by billable providers, thereby directly impacting CUHC revenue generation for providers. The framework for provider enrollment credentialing includes compliance in an increasingly complex regulatory environment defined by The Joint Commission, Department of Health, National Committee for Quality Assurance and Centers for Medicare and Medicaid standards.

The Compliance Analyst will audit 100% of credentialing and reappointment (recredentialing) files submitted by Credentialing Analysts to ensure compliance with National Committee for Quality Assurance (NCQA), The Joint Commission (TJC) accreditation and other regulatory standards, internal policies and procedures and managed care plan requirements. The Analyst will also audit data entered in the Credentialing database for completeness, accuracy, consistency, gaps, etc. This position will perform all necessary follow-up activities related to audit errors to ensure that corrections have been made appropriately and will serve as subject matter expert and coach for the Credentialing Analysts.

Experience Required:

Computer spreadsheet, database, and audit software literacy. Analytical skills, ability to define problems, collect data, establish facts, and draw valid conclusions. Strong written and verbal communication. Proficiency in application of audit theory, standards, procedures and techniques.

Ability to interpret and apply department policies and procedures. 5+ years of experience in healthcare or managed care environment and/or related experience.

Ability to interact and work well with others. Proficiency with Microsoft Office applications (Excel, Word).

Education Requirements:

Bachelors Degree preferred



  • Camden, United States Cooper University Health Care Full time

    **About us** At Cooper University Health Care, our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols. We have a commitment to its employees by providing...


  • Camden, New Jersey, United States Cooper University Health Care Full time

    About usAt Cooper University Health Care, our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols. We have a commitment to its employees by providing...

  • Senior Tax Analyst

    2 months ago


    Camden, United States Subaru Of America, Inc. Full time

    Love. Its what makes Subaru, Subaru. As a leading auto brand in the US, we strive to be More Than a Car Company. Subaru believes in being a positive force in the communities in which we live and work, not just with donations but with actions that Tax Analyst, Compliance, Tax, Tax Manager, Analyst, Senior, Technology, Automotive


  • Camden, United States Razorjack RecruitingRG Resources Full time

    Job Description: We are looking for a skilled Cyber Security Compliance Analyst with expertise in NIST 800-53, NIST 800-171, CMM, Nash I3, Firewall, Cyber Security Model, Linux, Splunk, and PowerShell scripting. The ideal candidate will be responsible for ensuring our organization complies with cybersecurity regulations and will have the ability to read logs...


  • Camden, United States Razorjack RecruitingRG Resources Full time

    Job Description: We are looking for a skilled Cyber Security Compliance Analyst with expertise in NIST 800-53, NIST 800-171, CMM, Nash I3, Firewall, Cyber Security Model, Linux, Splunk, and PowerShell scripting. The ideal candidate will be responsible for ensuring our organization complies with cybersecurity regulations and will have the ability to read logs...


  • Camden, United States Razorjack RecruitingRG Resources Full time

    Job Description: We are looking for a skilled Cyber Security Compliance Analyst with expertise in NIST 800-53, NIST 800-171, CMM, Nash I3, Firewall, Cyber Security Model, Linux, Splunk, and PowerShell scripting. The ideal candidate will be responsible for ensuring our organization complies with cybersecurity regulations and will have the ability to read logs...


  • Camden, United States Cooper University Health Care Full time

    **About us** At Cooper University Health Care, our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols. We have a commitment to its employees by providing...


  • Camden, United States Cooper University Health Care Full time

    **About us** At Cooper University Health Care, our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols. We have a commitment to its employees by providing...


  • Camden, United States CAMcare Health Corporation Full time

    Job DescriptionJob DescriptionCAMCARE HEALTH CORPORATIONJob Description CREDENTIALING AND ENROLLMENT SPECIALIST Who we are: CAMcare Health is a diverse and innovative team motivated to provide the best possible healthcare to communities in Camden and the surrounding areas. We live our values by providing primary health care to everyone regardless of their...


  • Camden, United States CAMcare Health Corporation Full time

    Job DescriptionJob DescriptionCAMCARE HEALTH CORPORATIONJob Description CREDENTIALING AND ENROLLMENT SPECIALIST Who we are: CAMcare Health is a diverse and innovative team motivated to provide the best possible healthcare to communities in Camden and the surrounding areas. We live our values by providing primary health care to everyone regardless of their...


  • Camden, New Jersey, United States CAMcare Health Corporation Full time

    CAMCARE HEALTH CORPORATION - CREDENTIALING AND ENROLLMENT SPECIALISTCAMcare Health is a diverse and innovative team dedicated to providing top-notch healthcare to communities in Camden and the surrounding areas. The organization's values center around offering primary health care to all individuals, regardless of financial circumstances, across seven sites...

  • Senior Tax Analyst

    2 weeks ago


    Camden, United States FirstPRO Full time

    Senior Tax Analyst - Up to $105k + bonus South Jersey organization with ENDLESS perks, looking for a Senior Tax Analyst. The ideal candidate must have 4+ years of large company experience, either in corporate or public accounting, specifically with consolidated federal tax returns. ***hybrid work schedule after training period Description: Stay abreast on...

  • Senior Tax Analyst

    2 weeks ago


    Camden, United States firstPRO, Inc Full time

    Senior Tax Analyst - Up to $105k + bonusSouth Jersey organization with ENDLESS perks, looking for a Senior Tax Analyst. The ideal candidate must have 4+ years of large company experience, either in corporate or public accounting, specifically with consolidated federal tax returns. ***hybrid work schedule after training periodDescription:Stay abreast on...

  • Privacy Analyst

    3 hours ago


    Camden, United States Cooper University Health Care. Full time

    About Us At Cooper University Health Care, our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols. We have a commitment to its employees by...

  • benefits analyst

    2 weeks ago


    Camden, New Jersey, United States Cooper University Health Care Full time

    BENEFITS ANALYST Camden, NJ Job ID 13515 Job Type Full Time Shift Day Specialty Human Resources Apply About us At Cooper University Health Care, our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities,...

  • HRis Analyst

    2 months ago


    Camden, United States United States Cold Storage Inc Full time

    Job Title: HRIS Analyst Who We Are: USCS is driven to advance, innovate and serve companies seeking the best service, facilities, and logistics in the cold chain. We are employee focused, an equal employment opportunity employer and would love to have you join our team. The Job Details: **Description/Responsibilities**: - Oversees and maintains internal...

  • Benefits Analyst

    2 months ago


    Camden, United States Cooper University Health Care Full time

    About Us: At Cooper University Health Care, our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols. We have a commitment to its employees by providing...

  • Benefits Analyst

    4 weeks ago


    Camden, United States Cooper University Health Care Full time

    About Us: At Cooper University Health Care, our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols. We have a commitment to its employees by providing...


  • Camden, United States Holtec International Full time

    Holtec International, a turnkey supplier of technologies for the nuclear and sustainable energy industries, is seeking to add a mechanical/civil/structural engineer/analyst to its Applied Mechanics Group with opportunities to contribute to Holtec's first of a kind small modular reactor (SMR) design. Come join a growing multidisciplinary team of engineers...


  • Camden, United States Holtec International Full time

    Holtec International, a turnkey supplier of technologies for the nuclear and sustainable energy industries, is seeking to add a mechanical/civil/structural engineer/analyst to its Applied Mechanics Group with opportunities to contribute to Holtec's first of a kind small modular reactor (SMR) design. Come join a growing multidisciplinary team of engineers...