Credentialing Quality Assurance Coordinator

  • Blue Cross and Blue Shield Association
  • Philadelphia, Pennsylvania
  • Full Time

Job Duties

Responsible for the final assessment of credentialing files in preparation for the credentialing determination. Utilizes corporate, state, federal, and accreditation credentialing standards. The Credentialing Quality and Assurance Coordinator assures that routine applications meet all participation and credentialing requirements and that non-routine files are identified and processed to meet all requirements for committee review. Records decisions with appropriate documentation and rationale in the credentialing database. Assures the confidentiality and integrity of all aspects of the Credentialing Quality and Assurance process. Desirable organizational, decision making, written and verbal communication skills.

Qualifications -

  • Working knowledge of credentialing process.
  • 1-2 years experience in credentialing database required
  • Demonstrates ability to work independently.

IBX is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability.

Must have an Android or iOS device which is compatible with the free Microsoft Authenticator app.

Job ID: 518610076
Originally Posted on: 4/24/2026

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