Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Quality Audit Credentialing Specialist II — Remote

HCA Healthcare, Inc.

Houston, TX
  • Remote job

Parallon, a part of HCA Healthcare, seeks a Credentialing Processing Center Specialist II to safeguard patient well-being by ensuring verified credentials across hospitals and facilities. The role involves navigating complex regulatory guidelines and coordinating with a wide network of providers and stakeholders. The ideal candidate has 5+ years in healthcare credentialing, familiarity with Joint Commission/NCQA standards, and NAMSS certification preferred. #J-18808-Ljbffr HCA Healthcare, Inc.

Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Quality Audit Credentialing Specialist II — Remote in Houston, TX vacancy
  •  ...organization that invests in you as a Quality Audit Specialist II? At Parallon, you come first. HCA...  ...Job Summary and Qualifications The Credentialing Processing Center Specialist II is responsible...  ...NAMSS Certification preferred. Remote employees are required to live... 
    Remote work
    Quality
    Temporary work
    Work experience placement
    Flexible hours

    HCA Healthcare, Inc.

    Houston, TX
    3 days ago
  • $24 - $26 per hour

     ...and create lasting hope! Credentialing Specialist II Job Type: Full-Time; Non...  ...Need Work Location: Remote Salary/Hourly Wage: $24....  ...the Council for Affordable Quality Healthcare (CAQH). Licensing...  ...for ease of access and auditing. Cross-Functional Collaboration... 
    Remote work
    Quality
    Hourly pay
    Full time
    Temporary work
    For contractors
    Work at office
    Monday to Friday
    Shift work

    RI International

    United States
    4 days ago
  •  ...currently seeking a Credentialing & Enrollment Specialist IIto join our credentialing...  ...growth and quality of our national provider...  ...Specialist II : Provider Lifecycle...  ...Compliance Execution Gather audit evidence as directed...  ...sick leave Work remotely and whatever schedule... 
    Remote work
    Quality
    Temporary work

    Brightside Health Inc.

    New York, NY
    3 days ago
  • The Cigna Group is seeking an Audit Specialist II to facilitate audits within the audit program, reviewing claim submissions for accuracy and...  ...include prioritizing tasks, completing payer and quality audits, training on recurring errors, and contributing to SOP... 
    Remote job
    Quality

    Cigna Healthcare

    Salem, OR
    1 day ago
  • $27 - $40 per hour

    The Cigna Group is hiring an Audit Specialist II to facilitate audits within the approved program, review...  ...skills. You will prioritize tasks, conduct quality audits, assist in SOP development, and support training. This remote-friendly role offers potential annual bonus... 
    Remote job
    Quality
    Hourly pay

    Cigna Healthcare

    New York, NY
    1 day ago
  • $56.16k - $83.2k

     ...next steps. Our partner is looking for an Audit Specialist II - CarepathRx based in the United States...  ...a key role in ensuring the accuracy, quality, and compliance of healthcare billing...  ...opportunity to make a meaningful impact in a remote environment while supporting... 
    Remote work
    Quality
    Hourly pay
    Full time
    Work at office

    Jobgether

    Remote
    8 days ago
  • $27 - $40 per hour

    The Audit Specialist II is responsible for facilitating processing of audits within the parameters of the audit program. The role involves reviewing...  ..., Highmark and UPMC Health Plan Perform quarterly quality audit checks Complete quality audits on new employees until... 
    Remote job
    Quality
    Hourly pay
    Work at office
    Local area
    Work from home

    Cigna Healthcare

    New York, NY
    1 day ago
  •  ...home infusion revenue cycle tasks from a remote or home-based setting in the United States...  ...You will prioritize tasks, perform payer audits, and maintain knowledge of Medicare and payer guidelines while contributing to quality audits and SOP development. Strong communication... 
    Remote work
    Quality
    Work from home

    Cigna Health and Life Insurance Company

    New York, NY
    2 days ago
  •  ...in the United States is seeking a skilled Revenue Cycle Specialist to support home infusion billing processes. You will prioritize tasks, complete payer audits, maintain guidelines knowledge, and assist with quality audits and SOP development. The role emphasizes... 
    Remote job
    Quality
    Work at office

    Cigna

    New York, NY
    2 days ago
  • $50k - $60k

     ...than 55,000 employees worldwide. Our Insurance Premium Audit Group specializes in delivering high-quality premium audits across all exposure types, supported...  ...of the EXL Premium Audit Team, you will benefit from: Remote work flexibility Target total earnings between $50K-$... 
    Remote job
    Quality
    Hourly pay
    Worldwide

    ExlService Holdings, Inc.

    New York, NY
    1 day ago
  • Premera Blue Cross is seeking a Quality Auditor to conduct audits professionally, ethically, and objectively, applying applicable standards. You will plan, develop, and communicate audits within defined scopes and schedules, maintaining up-to-date knowledge of procedures... 
    Remote job
    Quality

    Premera Blue Cross

    Kansas City, MO
    2 days ago
  • Brightside Health Inc. is seeking a Credentialing & Enrollment Specialist II to join our fully remote credentialing team. You will manage onboarding readiness, credentialing and enrollment applications, and provider records across a national network. Join a mission-driven... 
    Remote job
    Flexible hours

    Brightside Health Inc.

    New York, NY
    2 days ago
  •  ...Fully remote in any state except NY, CA, HI or AK This position...  ...to technical specifications; auditing and review of electronic clinical...  ...Understanding of NCQA HEDIS quality measures and related code value...  ...codes applied, including CPT II, SNOMED, LOINC, ICD, HCPCS, and... 
    Remote work
    Quality
    Full time
    Contract work

    VIVA

    United States
    16 hours ago
  • $63.29k - $104.43k

     ...Job The Internal Auditor II - Compliance is...  ...execution of assigned audits. The successful candidate...  ...Anti-Money Laundering Specialist (CAMS) Working knowledge...  ...three (3) days a week with remote flexibility two (2) days...  ...FNBO believes that the quality of our employee... 
    Remote work
    Quality
    Temporary work
    2 days per week
    3 days per week

    First National Bank of Omaha

    Omaha, NE
    1 day ago
  •  ...Allevio is seeking a detail‑oriented Credentialing Specialist to verify healthcare providers' credentials...  ...Salt Lake City, UT preferred, open to remote for the right candidate. This full‑time, non‑exempt role supports audits and quality improvement within credentialing teams... 
    Remote work
    Quality
    Full time

    Remote Jobs

    United States
    2 days ago
  • $19.43 - $32.98 per hour

     ...Centene Corporation is hiring for a fully remote credentialing role, open to candidates nationwide in the United States. The position involves...  ...managers, and providers. The role supports reporting, quality, and education verification processes in a fast-paced environment... 
    Remote work
    Quality
    Hourly pay
    Work at office
    Flexible hours

    Centene Corporation

    United States
    16 hours ago
  •  ...Guardian is seeking a Credentialing Support Associate III to support the provider credentialing and recredentialing process...  ...information, resolve discrepancies, and support high-quality network operations. This remote role reports to the Credentialing leadership team.... 
    Remote work
    Quality
    Work at office

    Guardian Llc

    Seattle, WA
    5 days ago
  •  ...Guardian Life is seeking a Credentialing Support Associate III to manage provider data and support credentialing and recredentialing. You...  ...providers and internal teams to resolve discrepancies, maintain high-quality records, and support efficient network operations. A detail-... 
    Remote work
    Quality

    Guardian Life

    Olympia, WA
    5 days ago
  • Trillium Health Resources in North Carolina is seeking a Quality Management Specialist II - IDD to ensure that HCBS services in Residential, Day Support, and Supported Employment meet HCBS requirements during the member’s plan year, and to supervise Innovations Waiver... 
    Remote job
    Quality

    Trillium Health Resources

    Greenville, NC
    33 minutes ago
  •  ...DescriptionProSidian Seeks a Assurance & Audit Specialist | Compliance / Risk /...  ...No Overtime Pay Basis Remote (within USA - W/ On-...  ...: Senior Consultant II) to provide Compliance...  ...support, deliverable quality checks, and controls...  ..., enhancing your credentials.ProSidian Employee &... 
    Remote work
    Quality
    Full time
    Contract work
    Temporary work
    For contractors
    Work at office
    Flexible hours

    Prosidian Consultng

    Washington DC
    1 day ago
  • $54.67k - $66k

     ...and purpose. The role The Senior Credentialing Specialist plays a critical role in overseeing...  ...otherwise specified, this position is remote (work from home). Candidates must reside...  ...credentialing support staff, ensuring quality, accuracy, and timely processing of credentialing... 
    Remote work
    Quality
    Full time
    Work from home

    Better Life Partners

    Boston, MA
    3 days ago
  •  ...set the highest standards of quality, timeliness, and client...  ...radiology. Job Summary The Credentialing Specialist primarily serves as the...  ...and participating in regular audits of the credentialing...  ...and working effectively in a remote environment with minimal supervision... 
    Remote work
    Quality

    Vision Radiology PLLC

    Dallas, TX
    5 days ago
  •  ...Department: Credentialing Reports To: Credentialing Manager Location...  ...City, UT preferred (open to remote for the right candidate)...  ...detail-oriented Credentialing Specialist to join our team. The...  ...timely manner Participate in audits and quality improvement initiatives related... 
    Remote work
    Quality
    Full time
    Work at office

    Remote Jobs

    Salt Lake City, UT
    2 days ago
  • Brightli seeks a Managed Care Credentialing Representative II to support providers from onboarding through credentialing. You will partner with providers to navigate applications, enrollment, and regulatory requirements, ensuring accurate files and timely progress. This... 
    Remote job

    Centerstone

    Springfield, MO
    1 day ago
  • $17 - $28.46 per hour

     ...Credentialing SpecialistWe're building a world of health around every...  ...accountable and prioritize safety and quality in everything we do. Join us...  ...least once per month. Fully remote consideration is available...  ...SummaryThe Credentialing Specialist ensures clinicians... 
    Remote work
    Quality
    Ongoing contract
    Work experience placement
    Work at office
    Local area

    Oak St. Health

    Dallas, TX
    2 days ago
  •  ...Visit CooperHealth.org to learn more. Short Description The Credentialing Specialist is responsible for the entire initial credentialing and...  ...allied health professional applicants to ensure the highest quality patient care at Cooper University Health Care. The position... 
    Remote work
    Quality

    Cooper University Health Care

    United States
    2 days ago
  • Trillium Health Resources is conducting a search for a Quality Management Specialist II - IDD. This role focuses on ensuring HCBS services meet state...  ...relevant licensing, and experience in MH/DD/SA settings. Remote NC-based work is available with travel as needed. #J-188... 
    Remote job
    Quality

    Trillium Health Resources

    Raleigh, NC
    4 days ago
  • $50k - $70k

     ...by a deep-seated commitment to making quality, affordable emotional support services...  ...Summary The Provider Enrollment & Credentialing Specialist is a vital role that ensures our clinicians...  ...and location). Environment: Remote Premium Medical, Dental, and Vision... 
    Remote work
    Quality

    Total Life Inc.

    New York, NY
    5 days ago
  •  ...Remote General Summary As a Credentialing Specialist, you'll play a vital role in our medical staff services team, ensuring that healthcare practitioners meet...  ...Participate actively in system integration and quality improvement initiatives Pursue professional development... 
    Remote work
    Quality

    Henry Ford Health

    New York, NY
    1 day ago
  •  ...Brand Partner of Upstream Rehabilitation, seeks a Credentialing Specialist to support initial credentialing and recredentialing...  ...focused on accuracy, regulatory compliance, and high-quality provider networks. This remote Arizona role requires residence in the United... 
    Remote work
    Quality

    PREFERRED Therapy Providers, Inc.

    United States
    4 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Quality Audit Credentialing Specialist II — Remote. Be the first to apply!