Credentialing Specialist

Nice to have:

Exceptional attention to detail

Employment Type

This is a full time non-exempt remote-based position that may require flexibility to different time zones

The range for this role is $30-40/hr. Salary is based on several factors including job related knowledge and skill set, depth of experience, certifications and/or degrees.

Benefits

Investing in You Today and Tomorrow

Supporting your well-being

Competitive medical, dental, and vision plans

Paid time off to recharge and enjoy personal time

The Credentialing Specialist is responsible for overseeing and maintaining all credentialing and compliance-related processes across the organization.

This role serves as the primary point of contact for provider and staff credentialing, ensuring adherence to regulatory, accreditation, and internal compliance standards.

The position partners closely with the People Team, Quality Assurance, Clinical Operations, and the QuadA Committee to support audits, onboarding, and ongoing compliance initiatives.

Manage end-to-end provider credentialing, re-credentialing, and privileging processes, including licensure, certifications, CAQH, payer enrollment, and ongoing compliance monitoring.

Oversee credentialing and certification tracking for nursing, MAs, and other clinical staff, ensuring timely renewals.

Maintain audit-ready provider credentialing files and documentation for licensure, malpractice coverage, certifications, and regulatory requirements.