At Cooper University Health Care, our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols. We have a commitment to our employees to provide competitive rates and compensation programs. Cooper offers full and part-time employees a comprehensive benefits program, including health, dental, vision, life, disability, and retirement. We also provide attractive working conditions and opportunities for career growth through professional development.
Discover why Cooper University Health Care is the employer of choice in South Jersey.
Provide key support and analysis to the provider enrollment credentialing process which directly impact the ability of CUHC to bill for services rendered by billable providers, thereby directly impacting CUHC revenue generation for providers.
The framework for provider enrollment credentialing includes compliance in an increasingly complex regulatory environment defined by The Joint Commission, Department of Health, National Committee for Quality Assurance and Centers for Medicare and Medicaid standards.
The Compliance Analyst will audit 100% of credentialing and reappointment (recredentialing) files submitted by Credentialing Analysts to ensure compliance with National Committee for Quality Assurance (NCQA), The Joint Commission (TJC) accreditation and other regulatory standards, internal policies and procedures and managed care plan requirements.
The Analyst will also audit data entered in the Credentialing database for completeness, accuracy, consistency, gaps, etc.
This position will perform all necessary follow-up activities related to audit errors to ensure that corrections have been made appropriately and will serve as subject matter expert and coach for the Credentialing Analysts.
Computer spreadsheet, database, and audit software literacy.
Analytical skills, ability to define problems, collect data, establish facts, and draw valid conclusions.
Strong written and verbal communication. Proficiency in application of audit theory, standards, procedures and techniques.
Ability to interpret and apply department policies and procedures. 5+ years of experience in healthcare or managed care environment and/or related experience.
High School Diploma Required
Bachelors Degree Preferred
Ability to interact and work well with others.
Proficiency with Microsoft Office applications (Excel, Word).
USD $31.00
USD $53.00
Cooper University Health Care is the leading academic health system in South Jersey and provides access to primary, specialty, tertiary, and urgent care, all within one complete health system. Cooper has nearly 14,000 team members including 1,600 nurses, more than 1,000 employed physicians representing 95 specialties and subspecialties, and more than 600 advanced practice professionals. Hospitals throughout the region send their most complex and critically ill and injured to Cooper for treatment by our highly skilled experts.
Ranked year after year by U.S. News & World Report as one of the top health systems in the Philadelphia Metro area, Cooper is consistently recognized for its quality, safety, and exceptional patient care.
Cooper has three hospitals: South Jersey’s only Level I trauma center, Cooper University Hospital in Camden, which is the busiest trauma center in the Philadelphia region; Cooper University Hospital Cape Regional in Cape May Court House, and Children’s Regional Hospital at Cooper, which is the only Level II pediatric trauma center in the Delaware Valley. Cooper is also home to a leading cancer center (MD Anderson Cancer Center at Cooper), six urgent care centers, and more than 130 outpatient offices from the Delaware River to the Jersey Shore, including large regional hubs in Camden, Cherry Hill, Moorestown, Voorhees, Willingboro, and Sewell.
Cooper University Health Care is affiliated with – and its physicians make up the faculty of – Cooper Medical School of Rowan University, which is located on the Cooper Health Sciences Campus in Camden, New Jersey. Cooper has a long history in the City of Camden and is playing a leading role in its revitalization.
