Sr Credentialing Specialist

Momento USA is a global technology consulting, talent acquisition, and creative development firm that addresses clients' most pressing needs and challenges. We are currently looking for an Sr Credentialing Specialist (Healthcare)

Position: Senior Credentialing Specialist (healthcare credentialing experience)

Location: Houston, TX (5 days onsite)

Duration: 6 Months with extension

Job Description: We are seeking an experienced Senior Credentialing Specialist with expertise in CVO (Credentials Verification Organization) operations, Provider Credentialing, and Provider Enrolment. The candidate will be responsible for managing the end-to-end credentialing lifecycle, including Primary Source Verification (PSV), regulatory compliance, provider onboarding, re-credentialing, and payer enrolment activities.

Key Requirements:

• 5 8 years of experience in provider credentialing and CVO operations.
• Strong experience in PSV, CAQH, provider enrolment, and re-credentialing.
• Knowledge of NCQA, CMS, Joint Commission, OIG, and SAM compliance requirements.
• Experience verifying provider licenses, education, certifications, work history, malpractice coverage, and sanctions screening
• Hands-on experience with credentialing platforms
• Ability to manage credentialing files, support committee reviews, maintain provider data, and ensure SLA adherence

Preferred Background: Candidates from healthcare payers, hospitals, health systems, managed care organizations, or credentialing service providers with relevant certifications (CPCS, CPMSM) are highly preferred

Thanks,

Adam Walker (Aquib)

Technical Recruiter

Momento USA | Exceeding Customer Expectations

440 Benigno Blvd, Unit#A 2nd Floor. Bellmawr, NJ 08031

Interstate Business Park

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Note: Momento USA is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, pregnancy, sexual orientation, gender identity, national origin, age, protected veteran status, or disability status.