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Credentialing Operations Specialist

4 weeks ago

Monterey, California, United States Astrana Health Full time
About the Role

We are seeking a detail-oriented and organized individual to join our Provider Credentialing Team as a Credentialing Operations Specialist. This role will focus on data cleanup, data entry, and assisting with initial application intake, health plan audits, and training on various aspects of the credentialing process.

Key Responsibilities
  • Review and verify provider data for accuracy and completeness in the credentialing database.
  • Enter new provider information and updates into the system, ensuring adherence to organizational standards.
  • Assist in preparing and conducting audits for health plan credentialing requirements.
  • Collect and compile necessary data and reports for audit purposes.
  • Perform other clerical duties as assigned to support the smooth operation of the team.
Requirements
  • High school diploma or equivalent; additional education in healthcare administration or related field is a plus.
  • Previous experience in a clerical or administrative role, preferably in healthcare or credentialing.
  • Strong attention to detail and ability to manage multiple tasks efficiently.
  • Proficient in Microsoft Office Suite (Word, Excel, Outlook) and experience with database management.
  • Excellent written and verbal communication skills.
  • Ability to work collaboratively in a team-oriented environment.
Preferred Qualifications
  • Previous experience with CredStream or other credentialing software/databases.
  • Knowledge of healthcare regulations.
  • Strong customer service skills.
  • Flexibility and adaptability.
About Astrana Health

Astrana Health is a physician-centric, technology-powered healthcare management company. We are building and operating a novel, integrated, value-based healthcare delivery platform to empower our physicians to provide the highest quality of end-to-end care for their patients in a cost-effective manner.

Our mission is to combine our clinical experience, best-in-class delivery network, and technological expertise in order to improve patient outcomes, increase access to healthcare, and make the US healthcare system more efficient.

We currently empower over 12,000 physicians to provide care for over 1 million patients nationwide. Our rapid growth and unique position at the intersection of all major healthcare stakeholders (payer, provider, and patient) gives us an unparalleled opportunity to combine clinical and technological expertise to improve patient outcomes, increase access to quality healthcare, and reduce the waste in the US healthcare system.

Environmental Job Requirements and Working Conditions
  • This is a hybrid position reporting to our corporate office in Monterey Park, CA.
  • The target pay range for this role is $18-20/hr.
Our Values
  • Patients First
  • Empowering the Independent Provider
  • Be Innovative
  • Operate with Integrity & Deliver Excellence
  • Team of One