Job Summary:

The Credentialing Lead Analyst will contribute to credentialing initiatives and compliance objectives through effective evaluation of Risk orders.  This position will exists to identify errors, assess information gaps, and recommend/implement enhancements, solutions and controls to improve the overall compliance standing. The Credentialing Lead Analyst will execute this through means such as scorecard analysis of completed work based on policy assessment, coaching team members on development, assisting with documentation, implementation of new polices, and evaluation of current and ongoing compliance.

The Credentialing Lead Analyst may assist in investigating internal and external audits conducted to confirm compliance with existing legal and regulatory requirements, company policies, and established methodologies, and will escalate instances of non-compliance to the appropriate manager.
This position works with the business units and department management to ensure that credentialing, privacy, security, and compliance policies are upheld; to identify information gaps; and to recommend/implement enhancements, solutions, and training to improve the overall credentialing process and outcome. 

Job Description/Skills Requirement:
• Conduct Front Reviews (Compliance QA)

• Utilize ECT for conducting audit / review.

• Assist supervisor in managing performance by providing timely feedback, coaching and mentoring to associates.

• Develop, maintain, generate and distribute status reports to ensure customer satisfaction and monitor productivity.

• Work closely with Management to identify potential areas for improvement and recommend training opportunities to enhance and increase efficiencies and improve process.

• Perform continuous improvement activities such as calibrations and additional  training as needed.

Act as resource person for training new hires.

Qualifications:

1 year experience as an LNLP credentialing analyst; strong QA experience is preferred.Bachelor's Degree HolderStrong interpersonal skills with a genuine interest in developing peopleBasic coaching, training and presentation skillsAbility to adapt to constant changes in processes and tasks; requirements and assignments.Ability to prioritize and learn quickly in a production based environmentStrong attention to detail with the ability to spot discrepancies, missing information, errors, trends and areas of concern.Work in a collaborative environment.Must not have received any Disciplinary Action within the past 12 months.Must not have any Attendance and Punctuality issues in the past 12 months.Must have a Successful or above rating in the last Enabling Performance cycle.

LexisNexis, a division of RELX, is an equal opportunity employer: qualified applicants are considered for and treated during employment without regard to race, color, creed, religion, sex, national origin, citizenship status, disability status, protected veteran status, age, marital status, sexual orientation, gender identity, genetic information, or any other characteristic protected by law. We are committed to providing a fair and accessible hiring process. If you have a disability or other need that requires accommodation or adjustment, please let us know by completing our Applicant Request Support Form: https://forms.office.com/r/eVgFxjLmAK , or please contact 1-855-833-5120.

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