Credentialing Specialist

Overview

Responsible for managing health plan enrollment applications for Medicaid and Commercial payors.

Ideal candidate has 2+ years in health plan enrollment and experience with credentialing across multiple states.

Locations

• United States

Requirements

• Bachelor's degree required
• 2+ years in health plan enrollment preferred
• Experience with Medicaid and Commercial payors
• Work authorized in the USA
• Native or bilingual English proficiency required

Responsibilities

• Complete health plan enrollment applications
• Communicate with providers for credentialing
• Ensure adherence to application requirements
• Follow up on outstanding enrollments
• Monitor application progress
• Track application progress in Salesforce

Benefits

• Comprehensive benefits
• Performance bonus
• Stock options