Credentialing Specialist

Job Summary

A company is looking for a Credentialing Specialist to manage provider credentialing processes.

Key Responsibilities

• Primary verification of provider licenses, board certifications, and prescriptive authority across all active states
• Ownership of a centralized, auditable credentialing database and proactive monitoring of expirations and renewals
• Direct liaison with state boards and regulatory bodies to ensure compliance

Required Qualifications

• 2+ years of credentialing experience in a multi-state healthcare setting, preferably with NP, PA, or physician groups
• Working knowledge of NP scope-of-practice laws and collaborative agreement requirements across states
• Experience with credentialing platforms such as Medallion, CAQH, or Modio
• Strong documentation habits and a focus on compliance
• Telehealth or virtual-first care experience is a plus