Senior Credentialing Specialist

To support the credentialing process for healthcare providers, the full-time Senior Credentialing Specialist will coordinate all activities related to the credentialing and re-credentialing of physicians, ensuring compliance with organizational and regulatory standards in a hybrid work environment. Key responsibilities Implement and monitor procedures for credentialing, re-credentialing, and privileging of network providers Process provider applications and maintain the provider profiling system, ensuring high-quality standards are met Lead training initiatives for less experienced specialists and conduct regular file audits Required qualifications Associate's degree preferred Three years of credentialing experience in a managed care plan, Medical Staff Services, or credentialing verification office Strong understanding of Joint Commission, NCQA, and URAC accreditation standards Advanced knowledge in payer enrollment, including Medicare and Medicaid Proficient in Microsoft Office, especially Word and Excel