Delegation Specialist

Immediate need for a talented Delegation Specialist. This is a 06+ months Contract to Hire opportunity with long-term potential and is located in Sunrise, FL(Remote). Please review the job description below and contact me ASAP if you are interested.
 
Job ID:25-69995
 
Pay Range: $28 - $30/hour.  Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).
 
Key Responsibilities:

• As a part of our hiring process, along with an option to directly connect with a Recruiter, we now offer a texting option to enhance your candidate experience.  Click the link below which contains a few basic questions that will help you ensure this is a good fit and expedite the shortlisting process :
  https://hire.glider.ai/connect/16067205
• Interface with delegated groups, complete required auditing and reporting related to delegation, and ensure adherence with NCQA requirements for assigned function.
• The Delegation Team process requests from our Delegated Entities.
• Delegated provider Requests are received via email through a shared mailbox. The Candidate will be responsible for the following:
• Serve as the point of contact for delegated entities related to delegation matters.
• Manage monthly delegated rosters and reconciliation.
• Maintain accurate and up-to-date provider information in databases.
• Provide confirmation to delegated entities regarding their practitioners and facilities.
• Collect annual required documents such as Disclosure of Ownership forms and W9 .
• Repapering all delegated entities with the new Delegated Contract Agreement .
• Compile and assemble pre-delegation packet for prospect delegated entity and ensure they adherence with delegation requirements.
• Background screenings as needed .
• Quarterly Administrative Subcontractors and Affiliates Report .
• Communicate with our delegates .
• Attend meetings as needed .
• Partnering with our internal customers as needed .
• Work special projects as needed .

Key Requirements and Technology Experience:

• Key Skills: Provider Data , Delegation Specialist , Provider Enrollment , Provider Credentialing .
• Excel, Reporting knowledge, 5 yr minimum experience in corporate world or professional field 2+ years of delegation or related provider data experience .
• NAMSS Credentialing Certification, knowledge of NCQA Standards.
• Excel formulas, Reporting .
• Communication Skills, written, verbal .
• Time Management .
• Bachelor’s degree .

Our client is a leading Healthcare Industry, and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration.
 
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