Provider Credentialing & Compliance Specialist

We are seeking a detail-oriented Provider Credentialing Specialist to oversee internal processes, regulatory compliance, and governmental requirements related to provider enrollment and credentialing. This role ensures the timely and accurate completion of provider applications while supporting departmental planning, development, and organization. Required Qualifications High School Diploma or GED Minimum 3 years of experience in: Provider credentialing, privileging, or enrollment Healthcare, hospital, managed care, or RCMS environment Strong knowledge of: Credentialing processes and compliance requirements Microsoft Office (Word, Excel) General office equipment (copiers, fax machines, multi-line phones) Excellent organizational, communication, and problem-solving skills Preferred Qualifications Bachelor’s degree in Healthcare Administration, Business Administration, or related field Professional certification such as: Certified Provider Credentialing Specialist (CPCS) Certified Professional Medical Services Management (CPMSM) (through the National Association Medical Staff Services) Experience working with managed care organizations and credentialing systems/databases Core Skills Regulatory compliance & audit preparation Data management & accuracy Billing issue resolution Communication & coordination Time management and attention to detail Pride Health offers eligible employee’s comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance, and employee discounts with preferred vendors. #J-18808-Ljbffr