Credentialing Specialist Job at Virtual Vocations Inc, United States

  • Virtual Vocations Inc
  • United States

Job Description

Seeking a detail-oriented Provider Enrollment & Credentialing Specialist, the full-time role will manage provider licensing, credentialing, and enrollment processes for a multi-state virtual clinical network while ensuring compliance with NCQA standards. Key responsibilities Oversee end-to-end execution of provider licensing, renewals, re-credentialing, and payer enrollment across all states Manage the onboarding process from provider acceptance to ready-to-practice status, ensuring timely communication with Clinical Operations and People teams Maintain audit-ready documentation and translate NCQA standards into operational workflows and policies Required qualifications 3+ years of experience in credentialing, provider enrollment, or medical staff services in a multi-provider environment Demonstrated NCQA credentialing and re-credentialing experience in daily operations Experience with multi-state licensure management and compliance monitoring Fluency in credentialing documentation processes, including primary-source verification and CAQH Proven ability to manage high-volume tasks while effectively communicating with various stakeholders

Job Tags

Full time

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