Credentialing Specialist { 177184}

Job Description

Job Description

Provider Credentialing Specialist – Network Activation

Location: Dallas, TX (Hybrid – Farmers Branch area)
Pay Rate: $17–$18/hour on W-2
Employment Type: Short-Term Contract
Work Arrangement: Hybrid
No C2C or third-party candidates

Position Overview

We are seeking an experienced Provider Credentialing Specialist to support network activation, provider enrollment, licensing, compliance monitoring, and provider data management.

This position plays an important role in ensuring healthcare providers meet applicable organizational, state, federal, and accreditation requirements, including NCQA, URAC, Medicare, Medicaid, and delegation agreements .

The ideal candidate will have experience in healthcare credentialing, provider enrollment, or licensing, along with strong organizational skills, attention to detail, and the ability to manage multiple priorities in a fast-paced environment.

Key Responsibilities

Provider Credentialing & Enrollment

• Support provider credentialing, licensing, and network activation activities.
• Manage clinician enrollment processes, state licensure applications, and renewals.
• Review, validate, and maintain provider information to ensure accuracy and completeness.
• Track credentialing and enrollment activities to support timely processing.
• Maintain accurate provider records and documentation across internal systems.
• Coordinate with internal teams and stakeholders regarding credentialing and enrollment requirements.

Compliance & Regulatory Support

• Ensure credentialing and network activation activities comply with applicable regulatory requirements.
• Support adherence to NCQA, URAC, Medicare, Medicaid, and delegation agreement standards .
• Review provider information for compliance with organizational and regulatory guidelines.
• Assist with compliance monitoring and documentation requirements.
• Identify discrepancies, missing information, and potential compliance concerns.
• Maintain accurate records to support quality and regulatory standards.

Provider Data & Operational Support

• Maintain provider data integrity across departments and organizational systems.
• Update and track provider information using internal databases and spreadsheets.
• Support network activation projects and departmental initiatives.
• Respond to inquiries from internal stakeholders and external contacts.
• Coordinate administrative and operational activities to support department objectives.
• Identify opportunities to improve credentialing workflows and operational efficiency.

Process Improvement & Training

• Assist with the development of training materials related to credentialing and network activation procedures.
• Prepare documentation covering policies, procedures, and quality standards.
• Support training initiatives to reinforce departmental requirements.
• Participate in process improvement activities.
• Help standardize documentation and workflow practices.

Required Qualifications

• 3–5 years of professional experience in provider credentialing, network activation, or healthcare licensing.
• Experience supporting provider enrollment, licensure applications, or renewals.
• Understanding of healthcare credentialing and regulatory compliance requirements.
• Strong data-entry, documentation, and record-management skills.
• Ability to review and validate provider information for accuracy and completeness.
• Strong organizational and time-management skills.
• Excellent written and verbal communication skills.
• Ability to manage multiple tasks and deadlines.
• Strong attention to detail and accuracy.
• Ability to work collaboratively with internal teams and external stakeholders.

Preferred Qualifications

• Experience working with NCQA and URAC credentialing standards .
• Familiarity with Medicare, Medicaid, and delegation requirements.
• Experience supporting clinician enrollment and state licensing processes.
• Certified Provider Credentialing Specialist (CPCS) certification through NAMSS, or ability to obtain certification within two years of eligibility.
• Intermediate proficiency with Google Workspace , including:
• • Gmail
  • Google Calendar
  • Google Sheets
  • Google Slides
• Experience supporting process improvements and preparing training documentation.
• Candidates located in the Dallas/Farmers Branch area who can reliably commute for hybrid work.