This is a remote position.
Walker Bowen Talent Partners is excited to partner with a scaling non-emergency medical transportation (NEMT) health tech company as they continue to build out a best-in-class credentialing and compliance function to support their rapid growth across medical transportation programs.
If you’re a Credentialing Audit professional with NEMT industry experience who enjoys diving deep into complex audits, building structure out of ambiguity, and becoming the go-to expert in a highly nuanced space while working alongside a collaborative, fast-moving, and genuinely supportive team, then we’d love to chat!
Our Client
Our client is a technology and services company dedicated to reducing barriers to care by improving the delivery of non-emergency medical transportation to people across America. Our client employs proprietary technology, paired with a nationwide network of vetted transportation providers. This enables payers and health systems to deliver cost-effective, on-demand transportation intelligently, enhancing the patient experience in the process. They serve the largest Medicare Advantage, Medicaid, and provider programs in the country.
About the Role
Our client is seeking a Credentialing Audit Supervisor to support audit readiness across the Credentialing function. This role ensures credentialing activities are completed accurately, timely, and in alignment with internal policies, client expectations, and regulatory requirements.
You will play a key role in reviewing credentialing work for quality and compliance, supporting internal and external audits, coordinating corrective action efforts, and preparing materials for Compliance stakeholders. This position directly impacts audit readiness, quality performance, and the effectiveness of our client’s credentialing operations.
Job Responsibilities
- Perform quality audits and routine reviews of credentialing files and documentation to ensure accuracy, completeness, and compliance
- Identify trends, errors, and process gaps through ongoing quality assurance and audit activities
- Support internal and external audits by gathering documentation, preparing responses, and coordinating audit-related activities
- Track and coordinate corrective action plans related to audit findings, internal reviews, and compliance concerns
- Partner with credentialing leadership and cross-functional teams to ensure timely resolution of issues
- Prepare audit summaries, reports, and supporting materials for compliance and audit stakeholders
- Maintain organized records of audit findings, corrective actions, and follow-up activities
- Develop and update audit tools, workflows, quality review materials, and standard operating procedures
- Monitor adherence to credentialing standards, internal controls, and process requirements
- Communicate audit findings and trends clearly to leadership and stakeholders
- Support process improvement initiatives to enhance quality, consistency, and audit readiness
- Collaborate with internal teams to resolve credentialing-related issues and support operational goals
Requirements
Required Qualifications:
- Bachelor’s degree or equivalent experience in healthcare operations, credentialing, quality assurance, compliance, or a related field
- 3+ years of experience in transportation provider credentialing (non-negotiable requirement)
- 3+ years of experience with provider data, quality assurance, auditing, or related functions
- Experience in Non-Emergency Medical Transportation (NEMT) credentialing or a related healthcare field
- Working knowledge of credentialing workflows, file documentation standards, and compliance expectations
- Experience supporting audits, quality reviews, or monitoring activities
- Strong organizational, analytical, and problem-solving skills
- Excellent written and verbal communication skills
- Advanced Excel (pivot tables, v-lookups, etc.) and proficiency with Adobe for reporting and documentation
- High attention to detail and ability to manage multiple priorities
- Ability to work independently and collaboratively in a fast-paced environment
Preferred Qualifications
- Experience managing or tracking corrective action plans
- Prior experience preparing materials for audits or compliance reviews
- Familiarity with credentialing or workflow systems
- Experience working in a high-growth or rapidly evolving environment
Benefits
We offer a remote-first work environment, competitive compensation, and comprehensive benefits including:
- Career growth and development opportunities in a mission-driven organization
- Competitive salary and annual bonus opportunities
- Comprehensive medical, dental, and vision insurance
- 401(k) with company match
- Generous PTO, paid company holidays, and paid parental leave
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Walker Bowen Talent Partners