Specialist I, Audit and Accreditation

Credentialing Coordinator

Teladoc Health is a global, whole person care company made up of a diverse community of people dedicated to transforming the healthcare experience. As an employee, you're empowered to show up every day as your most authentic self and be a part of something bigger - thriving both personally and professionally. Together, let's empower people everywhere to live their healthiest lives.

This position is responsible for coordinating the processes and systems used to support corporate and delegated credentialing audits. The position responds to, conducts, and documents corporate audit and delegation activities to comply with client contractual requirements, NCQA credentialing standards and guidelines, federal, state, and other government regulatory requirements.

This position reports to the Director of Delegation and Accreditation and interacts with internal and external customers to promote collegial client relationships and respond to client executive regarding client specific concerns. Additionally, this position collaborates with the network credentialing reporting team to ensure the thoroughness and accuracy of all client deliverables including corrective action plans. This position also supports the corporate-wide audit deliverables.

Essential duties and responsibilities include :

• Works with team members to ensure annual audits, pre-assessments, provider rosters, file reviews, corrective actions, and reports are accurate, complete, and meet corporate and client deliverable deadlines as directed.
• Provides compliance oversight for client reporting requirements and as needed for client corrective action plans.
• Monitors and tracks health plan client data and reporting requests.
• Works with team members to respond to, document, investigate, and work to resolve the issues identified in client corrective action plans.
• Liaison to client executives and health plan clients to support delegated credentialing activities.
• Is responsible for creating and updating delegated credentialing policies and procedures as needed to ensure NCQA compliance.
• Summarizes and analyzes department key performance indicators and prepares monthly status report.
• Performs reviews and quality controls of NCQA credentialing accreditation documentation.
• Performs other duties as assigned.

The time spent on each responsibility reflects an estimate and is subject to change dependent on business needs.

Supervisory responsibilities are not required for this position.

Required qualifications include :

Preferred qualifications include :

The base salary range for this position is $60,000 - $70,000. In addition to a base salary, this position is eligible for a performance bonus and benefits (subject to eligibility requirements).

Teladoc Health will not sponsor or transfer employment work visas for this position. Applicants must be currently authorized to work in the United States without the need for visa sponsorship now or in the future.