Credentialing Quality Analyst
About MantraComply
MantraComply is a healthcare technology and services company that helps healthcare organizations manage provider credentialing, licensing, payer enrollment, compliance and other healthcare operations. We combine technology, automation and healthcare expertise to simplify administrative processes and help providers complete credentialing and enrollment requirements efficiently.
Role Overview
The Credentialing Quality Analyst will ensure that credentialing and provider enrollment work meets MantraComply’s quality, accuracy, and compliance standards.
Key Responsibilities:
- Conduct quality audits of credentialing and enrollment applications.
- Review provider data and supporting documentation for completeness and accuracy.
- Identify errors, discrepancies, and process gaps.
- Perform audits against internal SOPs and credentialing requirements.
- Track recurring errors and develop corrective actions.
- Provide feedback and coaching to credentialing specialists.
- Maintain quality dashboards and reports.
- Support process improvement initiatives.
- Assist with payer audits and client quality reviews.
- Ensure provider records are complete, accurate, and properly documented.
Requirements
- 2–5 years of experience in US healthcare credentialing, provider enrollment, or healthcare operations.
- Strong knowledge of credentialing processes and documentation.
- Excellent attention to detail.Strong analytical and auditing skills.
- Experience with Excel/Google Sheets and operational reporting.
- Knowledge of CAQH, NPI, payer enrollment, and primary source verification preferred.
