Managed Care Credentialing Auditor (Hybrid) - FPP Physicians Network

* Conducts credentialing audits to ensure compliance with internal policies, state regulations, contractual requirements, and NCQA standards.* Acts as a liaison between WashU Managed Care Credentialing and its 40+ Managed Care Payors, fostering strong relationships and open communication channels.* Maintains accurate and organized records of audit findings, reports, and other relevant documentation.* Evaluates credentialing processes and internal controls to identify risks and opportunities for improvement.* Stays up-to-date with industry regulations and best practices to ensure audit processes are aligned with current standards.* Communicates audit results and recommendations in a clear and professional manner to the Manager of Managed Care Credentialing.* Provides guidance and support to credentialing staff on compliance and quality improvement initiatives.* Performs other duties as assigned.* Up to 22 days of vacation, 10 recognized holidays, and sick time.* Competitive health insurance packages with priority appointments and lower copays/coinsurance.* Take advantage of our free Metro transit U-Pass for eligible employees.* WashU provides eligible employees with a defined contribution (403(b)) Retirement Savings Plan, which combines employee contributions and university contributions starting at 7%.* WashU covers the cost of tuition for you and your family, including dependent undergraduate-level college tuition up to 100% at WashU and 40% elsewhere after seven years with us.Washington University in St. Louis' collective success is significantly attributed to the passion and outstanding efforts of our community. Our staff, faculty and trainees are committed to excellence and dedicated to carrying out our missions of research, teaching and patient care.WashU prides itself on being a place where people matter, and serious work is done. Our people work together in an inclusive community that celebrates diverse perspectives, collaboration and innovation. We are a community of individuals inspired to work together to develop big ideas and tackle challenging problems.We value the well-being of our people. WashU strives to create a positive employee experience where staff, faculty and trainees thrive, both personally and professionally. Our employees find meaning, connection and vitality in their work and life with a healthy work-life balance and support to learn, grow and make an impact at WashU, the community and the world.**Useful Links****Accommodation**If you are unable to use our online application system and would like an accommodation, please email CandidateQuestions@wustl.edu or call the dedicated accommodation inquiry number at 314-935-1149 and leave a voicemail with the nature of your request.**Regulatory Postings**Know Your Rights: Workplace Discrimination is Illegal Poster(; )
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