Job Title: Credentialing Specialist
There will be 3 main parts/phases of this project and the responsibilities will encompass the duties below in each phase:
CACTUS Implementation:
? Review Credentialing Spreadsheets to ensure compliancewith Visual Cactus Data Entry Policies
? Assist with implementation tasks in Visual Cactus such as data validation, UAT and workflow review and creation of workflow documentation
Core Functions: Initial Credentialing and Re-Credentialing
? Annual Audits for current Sub-Delegation Credentialing Agreements
? Assist with entering information into Credentialing Spreadsheets to ensure data is accurate and up to date
? Entering Providers into Visual Cactus
? Assist with processing Initial and Re-credentialing files
? Health Plan Roster Validations/Roster Management
? Entering Data on Anthem Blue Cross Provider Add/Change/Term Roster template and Site Creation Forms
Pre-Delegation Audit (Pre-requisite for Sub-Delegation Agreement between DHMSO and DHMF)
? Perform Pre-Delegation Audit for Credentialing Sub-Delegation Agreement
Hard Skills
+ Visual Cactus
+ Credentialing
+ Roster Management
Job Type
This is a contract position with a duration of 6 Month(s).
Work Site
This is a fully remote position.
Work Environment
Remote. Monday - Friday 8-5pm PST
Will be supporting 2 teams consisting of 7 Credentialing Specialists and Managers
For immediate consideration, email your updated resume to olellis@ actalentservices. com along with a couple of reasons why you're a strong fit for the role.
About Actalent
Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U. S. , Canada, Asia and Europe, Actalent serves many of the Fortune 500.
Diversity, Equity & Inclusion
At Actalent, diversity and inclusion are a bridge towards the equity and success of our people. DE&I are embedded into our culture through:
+ Hiring diverse talent
+ Maintaining an inclusive environment through persistent self-reflection
+ Building a culture of care, engagement, and recognition with clear outcomes
+ Ensuring growth opportunities for our people
The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email . @actalentservices. com ( . @actalentservices. com) for other accommodation options.
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