Credentialing Specialist (Healthcare Services) - Remote

Overview

The Credentialing Specialist manages provider enrollment and payer credentialing across Medicaid, Medicaid Managed Care Organizations (MCOs), and commercial insurance plans, ensuring clinicians are in-network quickly and accurately.

In Short

• Fully remote position with a full-time schedule.
• Manage end-to-end credentialing and re-credentialing for healthcare providers.
• Work with Medicaid, MCOs, and commercial payers.
• Ensure timely patient care delivery by reducing delays in provider onboarding.
• Support payer contract expansions and compliance requirements.
• Improve operational efficiency through streamlined workflows.
• Monitor revalidations and support payer audits.
• Collaborate with operations, onboarding, and billing teams.
• Communicate effectively with internal stakeholders.
• Document processes to support organizational scaling.

Requirements

• Strong attention to detail and process-driven execution.
• Comfort navigating complex multi-state payer systems.
• Ability to thrive in structured, high-volume, fast-paced environments.
• Experience in healthcare credentialing preferred.
• Excellent communication skills.
• Ability to manage multiple tasks and prioritize effectively.
• Proficient in documentation and record-keeping.
• Knowledge of Medicaid rules and commercial payer policies.
• Strong problem-solving skills.
• Ability to work independently and as part of a team.

Benefits

• Work with top-tier startups and exceptional opportunities.
• Grow and build long-term meaningful careers.
• Flexible remote work arrangement.
• Supportive company culture focused on professional development.
• Engagement with visionary founders.