Delegated Credentialing Specialist
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Job Summary
Managing delegated credentialing activities for assigned payer relationships, the full-time remote Delegated Credentialing Specialist will oversee compliance monitoring, prepare for audits, and maintain audit-ready credentialing records while collaborating with internal teams.
Key responsibilities
- Oversee delegated credentialing activities, including compliance monitoring, reporting, and audits
- Maintain complete and audit-ready credentialing records, ensuring adherence to NCQA and payer-specific requirements
- Lead credentialing for Nurse Practitioners and support group practice credentialing efforts
Required qualifications
- 2-5 years of credentialing and enrollment experience, with at least 2 years focused on delegated credentialing
- Certified Provider Credentialing Specialist (CPCS) certification
- Ability to manage multiple payer relationships with minimal oversight
- High attention to detail and strong organizational skills
- Familiarity with CAQH, NPDB, PECOS, and credentialing software
Complete Job Description
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