Credentialing and Provider Enrollment Specialist

This role is responsible for directing and managing the end-to-end healthcare provider credentialing process to ensure full regulatory compliance and data integrity.

Requirements

• 2+ years of leadership experience within healthcare credentialing or CVO operations
• Direct experience with NCQA credentialing standards (CVO or CR) — Preferred
• Experience preparing for and/or participating in NCQA surveys or health plan audits - Preferred
• Strong policy and procedure writing skills
• Proficiency with credentialing software (CAQH, VerityStream, Cactus, or similar)
• Excellent English written and verbal communication

Benefits

• Paid time off
• Health insurance
• Dental insurance
• Vision insurance