Credentialing Audit Supervisor

Walker Bowen Talent Partners

4d•Remote

About The Position

Walker Bowen Talent Partners is partnering with a scaling non-emergency medical transportation (NEMT) health tech company to build out a best-in-class credentialing and compliance function. This role is for a Credentialing Audit professional with NEMT industry experience who enjoys complex audits, building structure, and becoming a subject matter expert. The company is dedicated to reducing barriers to care by improving NEMT delivery across America, utilizing proprietary technology and a nationwide network of vetted providers to serve major Medicare Advantage, Medicaid, and provider programs. The Credentialing Audit Supervisor will support audit readiness within the Credentialing function, ensuring accuracy, timeliness, and compliance with internal policies, client expectations, and regulatory requirements. This role is crucial for audit readiness, quality performance, and the overall effectiveness of the client's credentialing operations.

Requirements

Bachelor’s degree or equivalent experience in healthcare operations, credentialing, quality assurance, compliance, or a related field
3+ years of experience in transportation provider credentialing (non-negotiable requirement)
3+ years of experience with provider data, quality assurance, auditing, or related functions
Experience in Non-Emergency Medical Transportation (NEMT) credentialing or a related healthcare field
Working knowledge of credentialing workflows, file documentation standards, and compliance expectations
Experience supporting audits, quality reviews, or monitoring activities
Strong organizational, analytical, and problem-solving skills
Excellent written and verbal communication skills
Advanced Excel (pivot tables, v-lookups, etc.) and proficiency with Adobe for reporting and documentation
High attention to detail and ability to manage multiple priorities
Ability to work independently and collaboratively in a fast-paced environment

Nice To Haves

Experience managing or tracking corrective action plans
Prior experience preparing materials for audits or compliance reviews
Familiarity with credentialing or workflow systems
Experience working in a high-growth or rapidly evolving environment

Responsibilities

Perform quality audits and routine reviews of credentialing files and documentation to ensure accuracy, completeness, and compliance
Identify trends, errors, and process gaps through ongoing quality assurance and audit activities
Support internal and external audits by gathering documentation, preparing responses, and coordinating audit-related activities
Track and coordinate corrective action plans related to audit findings, internal reviews, and compliance concerns
Partner with credentialing leadership and cross-functional teams to ensure timely resolution of issues
Prepare audit summaries, reports, and supporting materials for compliance and audit stakeholders
Maintain organized records of audit findings, corrective actions, and follow-up activities
Develop and update audit tools, workflows, quality review materials, and standard operating procedures
Monitor adherence to credentialing standards, internal controls, and process requirements
Communicate audit findings and trends clearly to leadership and stakeholders
Support process improvement initiatives to enhance quality, consistency, and audit readiness
Collaborate with internal teams to resolve credentialing-related issues and support operational goals