Credentialing Specialist

Job Summary

A company is looking for a Credentialing Specialist who will manage provider credentialing processes in a digital health environment.

Key Responsibilities:

• Process and manage provider credentialing applications to ensure compliance with relevant requirements
• Maintain accurate provider records within credentialing databases and digital health platforms
• Verify provider credentials and coordinate with internal and external stakeholders for timely credentialing

Qualifications:

• Bachelor's degree in healthcare administration, business, or a related field preferred
• 2+ years of experience in provider credentialing or enrollment in a healthcare or digital health setting
• Experience using Verifiable or Medallion preferred
• Strong understanding of NCQA, CMS, CAQH, and payer credentialing requirements
• Proficiency in credentialing software, databases, and digital health platforms