Process Specialist - HC

4 - 5 years

5 - 12 Lacs

Posted:2 weeks ago| Platform: Naukri logo

Apply

Work Mode

Work from Office

Job Type

Full Time

Job Description

Job Summary We are seeking a Process Specialist with 4 to 5 years of experience in HealthCare Products to join our team. The ideal candidate will have expertise in Prov Privileges excl Hospital Demo Changes Credentialing and Re-credentialing by Calls . This role requires working in a hybrid model with night shifts. The candidate will play a crucial role in ensuring the smooth operation of healthcare processes and contribute to the overall efficiency and effectiveness of our services. Responsibilities Oversee the management of healthcare products to ensure compliance with industry standards and regulations. Provide expertise in Prov Privileges excl Hospital to maintain accurate provider information. Manage demo changes to ensure that all demographic data is up-to-date and accurate. Handle credentialing and re-credentialing processes to ensure that all providers meet the necessary qualifications and standards. Collaborate with various departments to streamline healthcare processes and improve overall efficiency. Conduct regular audits to ensure compliance with healthcare regulations and standards. Develop and implement process improvements to enhance the quality of healthcare services. Provide training and support to team members on healthcare processes and procedures. Monitor and analyze process performance to identify areas for improvement. Ensure that all healthcare processes are documented and maintained accurately. Work closely with healthcare providers to address any issues or concerns related to credentialing and privileges. Participate in the development and implementation of healthcare policies and procedures. Maintain up-to-date knowledge of industry trends and best practices in healthcare process management. Qualifications Possess a minimum of 4 years of experience in healthcare products management. Demonstrate expertise in Prov Privileges excl Hospital demo changes credentialing and re-credentialing. Have a strong understanding of healthcare regulations and standards. Exhibit excellent communication and collaboration skills. Show proficiency in process improvement methodologies. Display strong analytical and problem-solving abilities. Certifications Required Certified Provider Credentialing Specialist (CPCS) or equivalent certification is required.

Mock Interview

Practice Video Interview with JobPe AI

Start Analytical Interview Now

My Connections Cognizant

Download Chrome Extension (See your connection in the Cognizant )

chrome image
Download Now
Cognizant
Cognizant

IT Services and IT Consulting

Teaneck New Jersey

10001 Employees

2577 Jobs

    Key People

  • Brian Humphries

    CEO
  • Gina Schaefer

    CFO

RecommendedJobs for You

Bangalore Urban, Karnataka, India

Hyderabad, Telangana, India

Hyderabad, Telangana, India

Bangalore Urban, Karnataka, India