Analyst I - Provider Credentialing - QC Analyst

SGS_JOB_2369

Admin/Clerical
Remote
Credentialing
Compliance
Auditing
and Quality Assurance

Contract - 06+ Months

Shift: Mon-Fri 8:30a-5p EST (Training will be Mon-Fri 9a-430p for approximately 2 weeks) 3+ years of related health care or health plan experience in credentialing compliance, auditing, and quality assurance

Job Responsibilities:

  • Assists in the preparation of deliverables for payer and internal audit requests
  • Assist with credentialing tasks as needed
  • Building and maintaining effective, positive internal and external customer relationships
  • Conducting ongoing monitoring to evaluate levels of regulatory credentialing and delegated payer compliance with contractual requirements
  • Participating in team initiatives and projects and meeting deadlines and quality expectations
  • Participate in the development and ongoing implementation of quality improvement activities. Improve quality products and services, by using measurements and analysis to process, evaluate and make recommendations to meet QM compliance objectives
  • Performing credentialing business process functions as needed, performing scheduled and random credentialing file audits
  • Reviewing risk assessments while participating in ongoing monitoring and annual program evaluation and identification of areas where there can be process improvement
  • 3+ years of related health care or health plan experience in credentialing compliance, auditing, and quality assurance
  • Proficient in Microsoft Office Applications; Excel, Outlook, Word, and Teams
  • The ability to create spreadsheets, analyze data and identify trends.
  • Strong attention to detail and the ability to multi-task in a fast-paced environment

Skills:

  • Excel is required - what experience do they have using MS Excel? (Need to know VLOOKUP's, how to filter/add comments (NOT note) in spreadsheet) - Need to manually input
  • How familiar are they with creating formulas within Excel? (Need to manually input data, NOT copy/paste data into sheets with pre-built formulas)
  • Explain how they use data mining?
  • Are they comfortable working during EST time zone? *Their hours are set hours, no changes*
  • Do they have reliable internet at home?
  • They have a quiet place to work at home remotely. *Extremely important*

Education/Experience:

  • Bachelor Degree Required

Related Jobs

Administrative Assistant: II

Admin/Clerical
 California
$28.00
2-year contract

Location: San Diego, CA 92123 Primary tasks would include: · Scheduling meetings and calendar management, · Expense reports, · Meeting note taking, · Event planning (e.g., all-hands, team building, etc.), · Ordering supplies, etc.

Organized
Strong communication skills
Proactive problem solving

Administrative Assistant III

Admin/Clerical
 California
$34.00
2+ years Contract

Location - Carlsbad, CA 92008

Scheduling
financial record keeping
MS Office
Spreadsheets
Google workspace

Maintenance Master Data Specialist

Admin/Clerical
 California
$44/hr on W2 without PTO
12 Months

Vacaville, CA 95688 Support maintenance operations through accurate, high-volume data entry, records management, and administrative coordination. Maintain and organize maintenance databases, equipment logs, work orders, schedules, and paper and electronic documentation while ensuring data accuracy, consistency, integrity, and compliance. The ideal candidate is detail-oriented, organized, quick to learn, and comfortable managing large volumes of information in a structured environment.

Data Entry
Maintenance Records
SAP
Microsoft Excel
Documentation
Filing Management

Conference Support Specialist

Admin/Clerical
 Virginia
$22/hr on W2 without PTO
12 Months

Arlington, VA 22202 Provide onsite conference and event support for a professional corporate meeting facility serving executive, government, military, international, and industry guests. Responsibilities include catering coordination, conference room and event setup, daily coffee and beverage service, linen management, inventory tracking, light housekeeping, and event breakdown. The ideal candidate is detail-oriented, proactive, professional, comfortable working with minimal supervision, and able to provide excellent customer service in a fast-paced environment.

Conference Room Setup
Catering Support
Hospitality
Customer Service
Event Support
Inventory Management

Data Entry Clerk II

Admin/Clerical
 California
$21.00-$27.00
12 Months(Possibility of extension)

Location - Pine Valley, CA 91962 Inputs information from a variety of sources into a database. Must meet standards for production volume, accuracy, and completeness. Requires strong attention to detail, excellent organizational skills, and effective communication abilities. Ability to work efficiently in a fast-paced, time-sensitive environment while maintaining accuracy and confidentiality. Supports data management, records maintenance, and administrative functions to ensure compliance with organizational requirements. Background/Need: The team is seeking a Data Entry Clerk to support daily administrative operations through accurate data entry, record keeping, and document retention activities. The role involves entering employee hours worked into the MyTime timekeeping system, maintaining Department of Transportation documentation, and performing various clerical tasks as assigned. This position offers the potential for conversion to a full-time employee role based on business needs and budget availability.

Data Entry
Database Management
Timekeeping

Administrator/Coordinator

Admin/Clerical
Ontario
02 years + (Possible Extension)

Location: Grimsby, Ontario CAN We're seeking a Training Administrator / Coordinator to support training operations and day-to-day administrative activities. This role involves coordinating training programs, managing documents and reports, providing virtual training/technical support, and working with internal teams to ensure smooth training delivery.

Word
Excel
PowerPoint
Outlook

Admin Assistant II

Admin/Clerical
 California
$26.00–$28.00
24 Month(Possibility of Extension)

Location- Carlsbad CA 92008 Provides administrative support to a department or individual, Duties may include word processing, filing, faxing, answering phones, receiving, and directing visitors, scheduling, financial record keeping, coordinating meetings and conferences, obtaining supplies and sorting/distributing mail. May work on special projects, Strong communication skills and organizational skills are essential. Familiarity with MS Office required.

Customer Service
Administrative
Communication
Microsoft Office

Admin Assistant III

Admin/Clerical
 California
$30.00–$33.00
24 Month(Possibility of Extension)

location - San Diego, CA 92108 Provides administrative support to a department or individual, Duties may include word processing, filing, faxing, answering phones, receiving, and directing visitors, scheduling, financial record keeping, coordinating meetings and conferences, obtaining supplies and sorting/distributing mail, May work on special projects, Strong communication skills and organizational skills are essential. Familiarity with MS Office required.

Customer Service
Administrative Support
Record Keeping
Communication
Microsoft Office

Mailroom specialist

Admin/Clerical
 Ohio
6 Months

Location (mandatory): Springfield OH USA 45505 A Mailroom Specialist will be responsible for tasks requiring strong hand-eye coordination, basic computer skills, sound decision-making, and the ability to sit for extended periods. Candidates must be able to multitask, learn policies quickly, and stay organized. Mailroom experience is preferred; exposure to homeowners’ insurance or mortgage documents is a plus.

Mailroom Operations / Detail-Oriented / Organizational Skills / Computer Proficiency
logo

At SGS Consulting, we go beyond resume-job matches, creating meaningful connections and pathways for individuals to thrive in defining careers.


© 2026 All rights reserved.
logologologologo