Credentialing Specialist at Cigna Healthcare, New York City, New York

Company Overview: Cigna Healthcare is a leading healthcare administration company dedicated to improving the health, well-being, and peace of mind of those we serve. With a strong focus on providing quality healthcare solutions, we are committed to delivering innovative services that enhance the overall healthcare experience for our members. Key Responsibilities For Credentialing Specialist: - Manage the credentialing process for healthcare providers, ensuring compliance with regulatory standards and internal policies - Review and verify provider credentials, licenses, certifications, and other relevant documentation - Coordinate with internal departments and external organizations to obtain necessary credentialing information - Maintain accurate and up-to-date provider information in the credentialing database - Conduct ongoing monitoring and auditing of provider credentials to ensure continuous compliance - Collaborate with credentialing committees to assess provider qualifications and make recommendations for approval Required Qualifications: - Bachelor's degree in Healthcare Administration, Business Administration, or related field - Minimum of 2 years of experience in healthcare credentialing or provider enrollment - Strong knowledge of credentialing processes, accreditation standards, and regulatory requirements - Excellent attention to detail and organizational skills - Proficiency in using credentialing software and Microsoft Office applications - Ability to work independently, prioritize tasks, and meet deadlines in a fast-paced environment Desired Skills: - Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services Management (CPMSM) certification - Experience working with healthcare insurance plans and managed care organizations - Knowledge of NCQA, URAC, and Joint Commission accreditation standards - Effective communication skills and the ability to interact professionally with providers and internal stakeholders - Analytical mindset with the ability to identify trends and recommend process improvements Compensation & Benefits: The annual salary range for the Credentialing Specialist position at Cigna Healthcare in New York City, New York is $55,000 to $70,000, commensurate with experience. In addition to competitive compensation, we offer a comprehensive benefits package that includes medical, dental, vision, 401(k) retirement plan, paid time off, and opportunities for professional development. How to Apply: To apply for the Credentialing Specialist position at Cigna Healthcare, please visit our careers page on the company website and submit your resume and cover letter outlining your qualifications and experience related to the role. We look forward to reviewing your application and potentially welcoming you to our dynamic team dedicated to making a difference in healthcare administration.