Senior Associate Credentialing - remote

Cognizant is one of the world's leading professional services companies, we help our clients modernize technology, reinvent processes, and transform experiences, so they can stay ahead in our constantly evolving world. Do you thrive in a busy environment and are you able to multi-task successfully? If so, please apply today!

In this role, you will play a crucial part in ensuring the successful setup and maintenance of our provider network. Your efforts will directly contribute to the efficiency and accuracy of our credentialing processes, supporting both our clients and internal teams.

Responsibilities:

• Coordinate and gather all necessary information for the setup of new clients, groups, and providers by professionally acquiring information from the provider or office staff.
• Compile and maintain current and accurate data for all providers in the credentialing database, including entering new client information into the system.
• Support the completion of providers initial and re-credentialing applications, provider change forms, letters and following up with Third Party insurance carriers as needed.
• Maintain copies of current state licenses, DEA certificates, malpractice factsheets, while tracking requirements validity.
• Function as first point of contact for credentialing clients, frequent email, and phone communication.
• Assist in the auditing of health plans directories as well as CAQH to ensure practice/provider demographics remain accurate and current.
• Lead client conference calls and present material effectively.
• Interfacing regularly with internal departments and credentialing clients regarding related inquiries and operational issues.
• Maintain confidentiality with any disciplinary actions or malpractice suits.
• Provide and create first level reporting from systems.
• Assist the team with any additional administrative task as assigned by manager.

Qualifications:

• High school diploma or GED required; Associate's degree strongly preferred.
• Experience in credentialing, provider environment, or related field
• Proficient use of Microsoft Office (Excel, in particular). Internet resources and Adobe Acrobat.
• Experience with PECOs, NCQA Standards, CMS regulations related to credentialing and conducting web-based research.
• CPCS or CPMSM certification is a plus.
• Complying with HIPPA policies and federal/state laws.
• Excellent communication skills

Cognizant will only consider applicants for this position who are legally authorized to work in the United States without requiring company sponsorship now or at any time in the future.

Salary and Other Compensation:

Applications will be accepted until March 14, 2025.

The annual salary for this position is between $60,00.00 - $70,000.00, depending on experience and other qualifications of the successful candidate. This position is also eligible for Cognizant's discretionary annual incentive program, based on performance and subject to the terms of Cognizant's applicable plans.

Benefits: Cognizant offers the following benefits for this position, subject to applicable eligibility requirements:

• Medical/Dental/Vision/Life Insurance
• Paid holidays plus Paid Time Off
• 401(k) plan and contributions
• Long-term/Short-term Disability
• Paid Parental Leave
• Employee Stock Purchase Plan

Disclaimer: The hourly rate, other compensation, and benefits information is accurate as of the date of this posting. Cognizant reserves the right to modify this information at any time, subject to applicable law.