Website MVP Health Care
MVP Health Care
Company : MVP Health Care
At MVP Health Care, we're on a mission to create a healthier future for everyone – which requires innovative thinking and continuous improvement. To achieve this, we're looking for a Professional, Credentialing QC Analyst to join #TeamMVP. If you have a passion for healthcare, quality assurance & compliance, and process improvement this is the opportunity for you.
What's in it for you:
- Growth opportunities to uplevel your career
- A people-centric culture embracing and celebrating diverse perspectives, backgrounds, and experiences within our team
- Competitive compensation and comprehensive benefits focused on well-being
- An opportunity to shape the future of health care by joining a team recognized as a Best Place to Work For in the NY Capital District, one of the Best Companies to Work For in New York, and an Inclusive Workplace.
Qualifications you'll bring:
- Associate's or Bachelor's degree in a related field (e.g., healthcare administration, business, or HR) preferred.
- 2+ years of experience in credentialing, compliance, or quality assurance.
- Experience in healthcare or insurance credentialing preferred.
- Strong attention to detail and analytical skills.
- Familiarity with credentialing software and databases.
- Knowledge of regulatory standards (e.g., NCQA, URAC, Joint Commission) is a plus.
- Excellent communication and organizational skills.
- Ability to work independently and collaboratively in a fast-paced environment.
- Proficiency in Microsoft Office Suite (Word, Excel, Outlook).
- Understanding of data privacy and confidentiality standards.
- Curiosity to foster innovation and pave the way for growth
- Humility to play as a team
- Commitment to being the difference for our customers in every interaction
Your key responsibilities:
- Conduct thorough quality control reviews of credentialing/recredentialing files and documentation.
- Verify credentials, licenses, certifications, and other required documentation for accuracy and compliance.
- Collaborate with credentialing specialists to resolve discrepancies and ensure timely updates.
- Maintain detailed records of QC findings and corrective actions.
- Assist in developing and refining QC procedures and checklists.
- Monitor compliance with internal policies, accreditation standards, and regulatory requirements.
- Provide feedback and training to credentialing staff on quality standards and best practices.
- Support audits and reporting requirements related to credentialing activities.
- Stay current with industry standards, regulations, and credentialing best practices.
- Contribute to our humble pursuit of excellence by performing various responsibilities that may arise, reflecting our collective goal of enhancing healthcare delivery and being the difference for the customer.
Where you'll be:
Hybrid
Pay Transparency
MVP Health Care is committed to providing competitive employee compensation and benefits packages. The base pay range provided for this role reflects our good faith compensation estimate at the time of posting. MVP adheres to pay transparency nondiscrimination principles. Specific employment offers and associated compensation will be extended individually based on several factors, including but not limited to geographic location; relevant experience, education, and training; and the nature of and demand for the role.
We do not request current or historical salary information from candidates.
MVP's Inclusion Statement
At MVP Health Care, we believe creating healthier communities begins with nurturing a healthy workplace. As an organization, we strive to create space for individuals from diverse backgrounds and all walks of life to have a voice and thrive. Our shared curiosity and connectedness make us stronger, and our unique perspectives are catalysts for creativity and collaboration.
MVP is an equal opportunity employer and recruits, employs, trains, compensates, and promotes without discrimination based on race, color, creed, national origin, citizenship, ethnicity, ancestry, sex, gender identity, gender expression, religion, age, marital status, personal appearance, sexual orientation, family responsibilities, familial status, physical or mental disability, handicapping condition, medical condition, pregnancy status, predisposing genetic characteristics or information, domestic violence victim status, political affiliation, military or veteran status, Vietnam-era or special disabled Veteran or other legally protected classifications.
To support a safe, drug-free workplace, pre-employment criminal background checks and drug testing are part of our hiring process. If you require accommodations during the application process due to a disability, please contact our Talent team at (url removed) .