We are looking for an experienced Quality Analyst Credentialing with strong knowledge of US Healthcare and provider credentialing processes. The ideal candidate should have hands-on experience in credentialing operations along with quality auditing, process compliance, error identification, and feedback.

Key Responsibilities

- Perform quality audits for Provider Credentialing processes.
- Review credentialing cases for accuracy, completeness, and adherence to defined quality standards.
- Validate provider information and supporting documentation.
- Audit activities related to initial credentialing and re-credentialing.
- Identify process gaps, errors, and recurring quality issues.
- Conduct root-cause analysis and recommend corrective/preventive actions.
- Provide constructive feedback to associates and support quality improvement initiatives.
- Monitor process adherence and ensure compliance with client requirements and internal SOPs.
- Prepare and maintain quality reports, audit findings, and relevant documentation.
- Coordinate with Operations, SMEs,



and Training teams to improve process quality.

Required Skills

- Positive knowledge of US Healthcare / RCM.
- Strong understanding of Provider Credentialing processes.
- Experience in Quality Auditing / Quality Assurance.
- Knowledge of CAQH and credentialing verification processes is preferred.
- Good analytical and problem-solving skills.
- Strong attention to detail.
- Good verbal and written communication skills.
- Ability to identify errors, analyze trends, and provide effective feedback.

Preferred Candidate Profile
- Relevant experience in US Healthcare Credentialing.
- Prior experience as a Quality Analyst/Quality Auditor in Credentialing preferred.
- Candidates with a combination of credentialing process knowledge and auditing experience will be preferred.

(Immediate joiners preferred) Job Location: Bengaluru (Embassy Tech Village)

Shift: Night Shift (5:30pm to 2:20am)

Reach out to Sukanya for more info @ (phone hidden)

📌 QA Credentialing / Provider Enrollment / Quality Audit (Bengaluru)
🏢 Getix Health
📍 Bengaluru