Credentialing Audit Supervisor

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🕒 April 24

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Walker Bowen Talent Partners

WebsiteLinkedInAll Job Openings

1 - 10 employees

Founded 2019

🤝 B2B

🎯 Recruiter

B2B • Recruitment • Human Resources

Walker Bowen Talent Partners is a growth talent advisory firm specializing in enhancing startups and high-growth companies by providing them with dynamic teams of high performers and leaders. They offer a range of services including experienced recruitment, fractional executives, human resources, marketing, and organizational development, tailored to support companies in navigating unique challenges and achieving success. Their partnership approach emphasizes building strong relationships to implement effective strategies that foster innovation, integrity, and collaboration.

📋 Description

• Perform quality audits and routine reviews of credentialing files and documentation to ensure accuracy, completeness, and compliance • Identify trends, errors, and process gaps through ongoing quality assurance and audit activities • Support internal and external audits by gathering documentation, preparing responses, and coordinating audit-related activities • Track and coordinate corrective action plans related to audit findings, internal reviews, and compliance concerns • Partner with credentialing leadership and cross-functional teams to ensure timely resolution of issues • Prepare audit summaries, reports, and supporting materials for compliance and audit stakeholders • Maintain organized records of audit findings, corrective actions, and follow-up activities • Develop and update audit tools, workflows, quality review materials, and standard operating procedures • Monitor adherence to credentialing standards, internal controls, and process requirements • Communicate audit findings and trends clearly to leadership and stakeholders • Support process improvement initiatives to enhance quality, consistency, and audit readiness • Collaborate with internal teams to resolve credentialing-related issues and support operational goals

🎯 Requirements

• Bachelor’s degree or equivalent experience in healthcare operations, credentialing, quality assurance, compliance, or a related field • 3+ years of experience in transportation provider credentialing (non-negotiable requirement) • 3+ years of experience with provider data, quality assurance, auditing, or related functions • Experience in Non-Emergency Medical Transportation (NEMT) credentialing or a related healthcare field • Working knowledge of credentialing workflows, file documentation standards, and compliance expectations • Experience supporting audits, quality reviews, or monitoring activities • Strong organizational, analytical, and problem-solving skills • Excellent written and verbal communication skills • Advanced Excel (pivot tables, v-lookups, etc.) and proficiency with Adobe for reporting and documentation • High attention to detail and ability to manage multiple priorities • Ability to work independently and collaboratively in a fast-paced environment

🏖️ Benefits

• Career growth and development opportunities in a mission-driven organization • Competitive salary and annual bonus opportunities • Comprehensive medical, dental, and vision insurance • 401(k) with company match • Generous PTO, paid company holidays, and paid parental leave