Credentialing & Enrollment Specialist US Operations

Accountabilities:

• Execute provider onboarding readiness activities, including intake packet reviews and completeness checks.
• Prepare and submit credentialing applications and monitor primary source verifications.
• Maintain CAQH, payer portals, internal trackers, and related provider data.

Requirements:

• 3+ years experience in credentialing and payer enrollment operations.
• Working knowledge of NCQA standards, CAQH, and healthcare payer enrollment processes.
• Proficiency with payer portals including CAQH, PECOS, and Availity.

Benefits:

• Fully paid comprehensive medical, dental, and vision coverage.
• Unlimited paid time off and sick leave.
• 401(k) plan, parental leave, and pet insurance.