Senior Credentialing Associate

Job Summary

A company is looking for a Senior Credentialing Associate to support their growing network of providers.

Responsibilities:

• Ensure providers are credentialed and enrolled with contracted health plans
• Initiate, maintain, and verify all aspects of the credentialing and re-credentialing applications and process for providers
• Track license and certification expiration dates for all providers to ensure timely renewals

Qualifications:

• 2-4 years experience in a credentialing role
• 2-4 years working with CAQH and/or other commonly used 3rd party credentialing tools
• Two or more years of experience in the healthcare field dealing with claims/utilization
• Strong excel skills
• Operational mindset, ability to think about how processes will scale as the company grows