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Credentialing Specialist
Credentialing Specialist The Sharp HealthCare Credentialing Specialist performs and coordinates essential credentialing functions in an effort to attain and maintain quality practitioners in the provider network. Develops credentialing policies and procedures per NCQA standards and other regulatory requirements. Serves as a liaison to delegated entities and vendors to ensure current and adequate credentialing process are in place. Develops and performs queries for data reporting purposes to include directories, hoc reports, and network management reports. Responsible for the maintenance of the provider database and is responsible for providing provider related reports to internal and external entities. Skills and Qualifications:


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