Credentialing Compliance Coordinator

Job Summary

A company is looking for a Credentialing Compliance Coordinator.

Key Responsibilities

• Coordinate and complete credentialing for new providers and manage payer enrollment applications
• Support providers with state license applications and manage renewals while ensuring compliance
• Conduct monthly exclusion audits and maintain organized compliance records

Qualifications

• 2+ years of experience in credentialing, licensing, and/or payor enrollment
• Desire to work in an early startup environment
• Proven ability to work independently while managing competing priorities
• In-depth knowledge of the health plan/payor ecosystem