Alignment Healthcare Hiring for Credentialing Coordinator at California Full Time

Alignment Health was founded with a mission to revolutionize health care with a serving heart culture. Through its unique integrated care delivery models, deep physician partnerships and use of proprietary technologies, Alignment is committed to transforming health care one person at a time.

By becoming a part of the Alignment Health team, you will provide members with the quality of care they truly need and deserve. We believe that great work comes from people who are inspired to be their best. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment community.

Alignment Healthcare was founded with a mission to revolutionize health care with a serving heart culture. Through its unique integrated care delivery models, deep physician partnerships and use of proprietary technologies, Alignment is committed to transforming health care one person at a time.

By becoming a part of the Alignment Healthcare team, you will provide members with the quality of care they truly need and deserve. We believe that great work comes from people who are inspired to be their best. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment community.

Position Summary:

The Credentialing Coordinator is a fully remote position responsible for supporting provider and facility credentialing activities to ensure that Alignment Health has a provider network of the highest quality. The Credentialing Coordinator will work with the Credentialing team on all aspects of credentialing and re-credentialing including preparing and maintaining s, communication with providers and internal departments as well as performing database entry of provider and facility information to ensure compliance with regulatory and accreditation requirements.

General Duties/Responsibilities:

(May include but are not limited to)

• Maintains department files in an organized, accurate, secure manner.
• Process outgoing and incoming requests for credentialing and credentialing inquiries
• Assist the Credentialing Specialists with ongoing monitoring activities.
• Assists with coordinating credentialing files for Committee review.
• Assist with processing Committee review results including system updates, notification letters to providers and internal staff.
• Manage incoming department e-mails
• Perform data entry into databases or systems
• Responsible for health plan provider-related communications
• Respond to internal and external customer inquiries regarding credentialing status.
• Perform other duties, as required, or assigned.

Supervisory Responsibilities:

This job has no supervisory responsibilities.

Minimum Requirements:

Minimum Experience:

• 1-2 years’ experience in the field of primary source verification credentialing in a healthcare environment or equivalent experience performing administrative duties with a clinical focus
• Managed Care Experience preferred
• Minimum of two years professional experience with MS Office Suite- (Word, Outlook, Excel, Access)

Education/Licensure:

• High School Diploma or equivalent

Other:

• Excellent written and verbal communication skills
• Strong organizational skills and accurate work results
• Ability to meet scheduled deadlines with minimal supervision.
• Proficient in Microsoft Office, knowledge of other systems preferred.
• Ability to multi-task and deal with complexity on a frequent basis
• Flexible, team player

Alignment requires all new hires to follow local and/or state requirements regarding the COVID-19 vaccine and booster. If applicable, proof of vaccination and booster will be required as a condition of employment subject to legal exemptions. This policy, which Alignment reserves the right to modify, is part of Alignment’s ongoing efforts to ensure the safety and well-being of its staff and community and to support public health efforts.

Alignment Healthcare, LLC is proud to practice Equal Employment Opportunity and Affirmative Action. We are looking for diversity in qualified candidates for employment: Minority/Female/Disable/Protected Veteran.

If you require any reasonable accommodation under the Americans with Disabilities Act (ADA) in completing the online application, interviewing, completing any pre-employment testing or otherwise participating in the employee selection process, please contact [email protected].

• DISCLAIMER: Please beware of recruitment phishing scams affecting Alignment Health and other employers where individuals receive fraudulent employment-related offers in exchange for money or other sensitive personal information. Please be advised that Alignment Health and its subsidiaries will never ask you for a credit card, send you a check, or ask you for any type of payment as part of consideration for employment with our company. If you feel that you have been the victim of a scam such as this, please the incident to the Federal Trade Commission at https://fraud.ftc.gov/#/. If you would like to verify the legitimacy of an email sent by or on behalf of Alignment Health’s talent acquisition team, please email [email protected].