Job Description:
• Manage end-to-end credentialing and recredentialing processes for new and existing providers, including verification of education, training, board certifications, and work history
• Coordinate payer enrollment applications and updates for timely processing and provider participation across commercial and government payers
• Maintain accurate and current credentialing files and records in compliance with internal standards and regulatory requirements
• Collaborate with providers, health plans, and internal departments to resolve credentialing issues and delays
• Track credentialing timelines and proactively follow up on outstanding applications and documentation
• Ensure compliance with NCQA, CMS, state, and payer-specific regulations and standards
• Participate in audits, surveys, and reporting related to provider credentialing and enrollment
• Support clinical operations, revenue cycle, and human resources teams with credentialing-related information and processes
Requirements:
• Minimum of 1 year of experience in provider credentialing and payer enrollment, preferably in a multi-state medical group or healthcare organization
• Candidates with less than 1 year of experience are encouraged to apply if they believe they are a strong fit
• Strong ownership mindset and ability to work independently in a remote role
• High level of accuracy and attention to detail
• Methodical approach to tracking applications, deadlines, and documentation
• Reliable follow-through and ability to identify and escalate potential delays
• Direct and transparent communication skills
• Excellent time management and ability to manage multiple credentialing tasks and deadlines simultaneously
• Familiarity with CAQH, NPPES, and PECOS is nice to have
• Current authorization to work in the United States
• Must address potential employment visa sponsorship requirements for work in the United States
Benefits:
• Medical, dental, and vision insurance
• 401K retirement plan with company match
• Up to 20 days of PTO per year plus company holidays
• Up to 14 weeks of parental leave (12 for non-birthing parents)
• Annual work from home stipend for remote employees
• Fully remote opportunity