Quality Assurance Credentialing Analyst

• Reviews provider credentialing files to ensure compliance with NCQA and internal policies and procedures
• Identifies common areas of quality issues and provides insight to Leadership
• Identifies potential areas of reporting and metric needs within teams
• Works directly with System Admin on QA internal tools to ensure effectiveness and accuracy of data within the credentialing system
• Assists in reviewing compliance standards related to credentialing across all 50 states to ensure NCQA and State credentialing policies and processes are in compliance and operating within best practices
• Makes suggestions on process improvements based on industry standards and NCQA and other compliance organization quality recommendations
• Assists in develop of ongoing department training programs as needed
• Gives input during the creation of requirements and workflows for system development

• Ability to compile, research, and analyze information
• Excellent verbal and written communication skills
• Consistent demonstration of high integrity, self-motivation and proactive thinking and approach, without requiring direction from Leadership

• Ability to work with all teams/challenges/professional communication
• Handle individual workload and deliver upon project milestones on time
• Able to build strong and trusting relationships with team members
• Working understanding of multi-state credentialing and licensing regulations
• Proficient in Microsoft Office Suite

• Bachelor's degree
• 3+ years of credentialing experience with specific knowledge of compliance standards for NCQA, URAC, The Joint Commission and/or AAAHC guidelines related to credentialing and delegated credentialing
• CPCS or CPMSM Certification Preferred

DispatchHealth is redefining healthcare delivery through mobile and virtual healthcare. A rapidly scaling Denver, Colo., startup, we provide right-sized healthcare through the power of technology, convenience, and service. DispatchHealth is creating an integrated, convenient, high-touch care-delivery solution that extends the capabilities of the patient's care team and ensures that we provide personalized, quality care in the home or at the patient’s location of need. Our skilled, certified providers arrive onsite with the expertise and tools necessary to administer advanced medical care, supported by our technological infrastructure to ensure quality and to improve outcomes. DispatchHealth brings together experienced professionals with proven success in medicine, engineering and operations and a passion for transforming the healthcare landscape.

DispatchHealth is committed to creating and supporting a diverse and inclusive team and serving all communities. All qualified applicants will be considered for employment regardless of race, gender, gender identity or expression, sexual orientation, religion, national origin, disability, age, or veteran status. DispatchHealth offers a comprehensive benefit package, including medical, dental and vision insurance, 401k, paid time off, family, and short-term disability leave.

Do you want to be part of and thrive in a fast-paced, growth-stage, entrepreneurial technology, and healthcare delivery company?

Our Mission

We deliver trusted, compassionate care to all in the comfort of home.

Our Vision

Building the world's largest in-home care system.

Our Values are embodied in The DispatchWay

• Courage to advocate for our patients and each other
• Innovation to trailblaze a new path for healthcare
• Integrity to create a respectful and inclusive environment
• Compassion to provide quality, safe and excellent care