Performs audit functions for assigned delegates for credentialing functions.
Consultant will audit credentialing functions of delegates to ensure compliance with NCQA standards, State and Federal mandates.
3+ years work related experience in the healthcare industry.
5 to 7 years managed care and credentialing experience in the healthcare industry and quality management.
The highest level of education desired for candidates in this position is a Associate's degree or equivalent experience.
Functional - Quality Management/Quality Management/1-3 Years
Can be assigned to any location as it if full time WAH
ADDITIONAL JOB INFORMATION
Aetna is about more than just doing a job. This is our opportunity to re-shape healthcare for America and across the globe.
We are developing solutions to improve the quality and affordability of healthcare. What we do will benefit generations to come.
We care about each other, our customers and our communities. We are inspired to make a difference, and we are committed to integrity and excellence.
Together we will empower people to live healthier lives.
Aetna is an equal opportunity & affirmative action employer. All qualified applicants will receive consideration for employment regardless of personal characteristics or status. We take affirmative action to recruit, select and develop women, people of color, veterans and individuals with disabilities.
We are a company built on excellence. We have a culture that values growth, achievement and diversity and a workplace where your voice can be heard.
Benefit eligibility may vary by position. Click here to review the benefits associated with this position.
Aetna takes our candidate's data privacy seriously. At no time will any Aetna recruiter or employee request any financial or personal information (Social Security Number, Credit card information for direct deposit, etc.) from you via e-mail.
Any requests for information will be discussed prior and will be conducted through a secure website provided by the recruiter. Should you be asked for such information, please notify us immediately.