QA Coordinator

Job not on LinkedIn

🔥 0 minutes ago

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

AnswersNow

WebsiteLinkedInAll Job Openings

11 - 50 employees

⚕️ Healthcare Insurance

📡 Telecommunications

📚 Education

💰 $11M Series A on 2023-02

Healthcare Insurance • Telecommunications • Education

AnswersNow is a company dedicated to providing virtual autism support for families everywhere. They offer ABA therapy on an engaging virtual platform, aiming to make support accessible without a waitlist, and they work with all major insurance carriers including Medicaid. The company tailors their evidence-based care to address the specific needs and priorities of each family. Their team includes board-certified behavior analysts (BCBAs) with extensive training, who provide one-on-one expert support through their proprietary digital platform, allowing for therapy sessions to be conducted in a family-friendly environment. AnswersNow's mission is to empower families with flexible, quality care and to make the world more inclusive for individuals with autism.

📋 Description

• Ensure integrity, accuracy, and compliance of delegated credentialing processes. • Work closely with the Senior Manager to establish, prepare and execute training materials. • Collaborate with the Enrollment Submission team to manage Medicaid, MCO, and commercial payer applications. • Partner with leadership and Contracting to facilitate licensure expansion and network growth into new markets.

🎯 Requirements

• Review BCBA and related provider packets for completeness, accuracy, and primary source verification. • Conduct routine and ad hoc audits of delegated credentialing files to ensure compliance (organizational, payer, NCQA/CMS). • Monitor delegated entities for contractual adherence (turnaround times, documentation, verification). • Maintain audit tools, checklists, and reporting dashboards. • Collaborate with the Credentialing team for policy alignment. • Support pre-delegation and annual delegation audits, including documentation. • Ensure policies reflect current regulatory/accreditation standards. • Assist with training for internal staff and delegated entities on credentialing requirements. • Participate in quality improvement and process optimization efforts. • Provide comprehensive support for licensure initiatives and facilitate the expansion into new states and payer networks

🏖️ Benefits

• Fully remote – work from anywhere in the U.S. • Flexible hours with an async-friendly team culture