The Credentialing Specialist is responsible for coordinating, processing, and tracking healthcare provider licenses (MDs, DOs, NPs, RNs, etc.) across multiple U.S. states, including through licensure compacts (IMLC/NLC). This role ensures timely, accurate, and compliant onboarding and re-credentialing of providers in accordance with regulatory and organizational standardsKey Responsibilities:1. State Licensing CoordinationPrepare and submit new license
The primary goal of this position is to manage the complex administrative and compliance-driven processes required for healthcare professionals to practice and for the organization to receive payment.Provider Credentialing (Verification and Compliance)Credentialing is the process of verifying a healthcare provider's qualifications to ensure they meet professional and regulatory standards. It's the quality control step.experience5
● Minimum 2+ years of hands-on experience in Payer Enrollment-Commercial orMedicaid, depending on the requirement.● Deep understanding of payer portals, CAQH, NPPES, PECOS, Medicaid enrollmentprocesses, and revalidation cycles.Key Responsibilities1. End-to-End Enrollment Management2. Compliance & Regulatory Adherence3. Issue Resolution & Escalations4. Process Improvement5. Mentorship & Team Support6. Documentation & Reporting experience5
9 june 2026
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