Senior Provider Compliance Specialist - Remote

Overview

As a Senior Provider Compliance Specialist, you will play a crucial role in scaling the credentialing department while ensuring compliance with required standards, working collaboratively with various teams to enhance processes and reduce administrative burdens for providers.

In Short

• Manage and audit provider credentialing processes.
• Communicate compliance changes to providers.
• Collaborate with cross-functional teams.
• Maintain compliance records and licensing lists.
• Develop and document standardized workflows.
• Utilize Excel/GSheets and learn new tools.
• Focus on high attention to detail.
• Work in a fast-paced, high-growth environment.
• Participate in improving credentialing processes.
• Support mental health initiatives.

Requirements

• Experience in managing provider credentialing.
• Proficiency in Excel/GSheets.
• Excellent verbal and written communication skills.
• Strong attention to detail.
• Understanding of regulatory requirements.
• Experience with NCQA/CMS credentialing preferred.
• Knowledge of Medicare/Medicaid enrollment.
• Ability to work in a high-growth startup environment.
• Understanding of vendor management.

Benefits

• 100% remote work environment.
• Attractive pay and benefits.
• Comprehensive health benefits.
• 401(k) plan access.
• Generous time-off policies.
• Paid parental leave.
• Employee Assistance Program (EAP).
• Home office stipend.
• Quarterly department stipend.
• Wellness events and community groups.