Our story began by listening to patients with chronic diseases. Patients have been telling their doctors that they cannot afford necessary treatments for their chronic conditions due to the limited availability of Chronic-Special Needs Plans in the market. Over 100 nephrologists decided to take actions and started Gold Kidney Health Plan.
The goal is to provide the needed coverage for patients with chronic diseases. Gold Kidney reduces patients’ cost share by offering Chronic-Special Needs Plans that offer low to no member costs for select treatments for chronic conditions.
Our care model is simple: removing patients’ barriers to care by empowering our physician partners to have full authority to direct the care for our chronically ill members.
Gold Kidney’s patient-centric care approach integrates payor, provider, and care management technology to effectively improve patient outcomes and quality. At Gold Kidney, the patient’s well-being is our number one focus and priority.
Our employees are a vital part of delivering on our promise to provide the gold standard of care through a more personalized and holistic approach to healthcare. See if one of our open positions could be right for you!
The Credentialing Analyst is responsible for efficient credentialing operations, coaching and training of Department staff. He/she will coordinate and will be accountable for the daily activities of business support, technical or production teams or unit. He/she will act as the primary point person for the Credentialing team by organizing the team workflow, providing direction, assistance to the credentialing staff, and organizing the activities of the Credentials Committee. They will be responsible for all activities associated with credentialing or re-credentialing physicians and providers.
Duties will include processing provider CAQH (Council for Affordable Quality Healthcare) applications and re-applications ensuring high quality standards are maintained. Conducts audits and provides feedback to reduce errors and improve processes and performance. Additionally, this position will be responsible for the development of credentialing policies and procedures and may oversee primary source verification activities.
You will be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
No supervision required.
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