TekSystems is currently hiring for a Medical Credentialing Specialist in the Baltimore area! This position will start in office and then it will go Hybrid! MUST HAVE: 2-3 years of credentialing experience! Description They will be responsible for auditing and updating physician records for audits and state requirements. Perform initial assessment and analysis of approved credentialing and re-credentialing files to determine compliance with NCQA guidelines and state regulations Worked directly with IT to design and implement an credentialing audit tool using the SharePoint site Drafted new and proposed updates to existing Credentialing Policies and Procedures based on NCQA guidelines and individual state regulations Supported Director of Project Management with preparing weekly reports related to file categorization, volume, assignment to and completion of by Credentialing Specialist, and quality score Achieved marked increase in results of delegated audits resulting from implementation of auditing tool Additional Skills & Qualifications Must have at least 1+ years within medical credentialing Must be familiar with NCQA & CAQH Ideal candidates will have hospital credentialing Must have excellent customer service over the phone Must have strong computer skills Must be able to work through an excel spreadsheet/track comments next to each provider Pay and Benefits The pay range for this position is $22.00 - $25.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: • Medical, dental & vision• Critical Illness, Accident, and Hospital• 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available• Life Insurance (Voluntary Life & AD&D for the employee and dependents)• Short and long-term disability• Health Spending Account (HSA)• Transportation benefits• Employee Assistance Program• Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type This is a fully onsite position in Baltimore,MD. Application Deadline This position is anticipated to close on Feb 19, 2025. About TEKsystems: We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company. The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.