Senior Credentialing Specialist (Payor & Facility Credentialing) - REMOTE

Job Description

The Senior Credentialing Specialist will oversee and execute all aspects of provider credentialing, re-credentialing, payor enrollment, and facility privileging. You will work closely with internal teams, hospitals, insurance payors, and regulatory bodies to ensure seamless onboarding and compliance for our physician network.

This is a high-impact role for someone who thrives in a fast‑paced environment and is ready to take ownership of the entire credentialing lifecycle.

Responsibilities

1. Manage the full credentialing and re-credentialing workflow for physicians and advanced practitioners
2. Complete and track payor enrollment applications (Medicare, Medicaid, commercial payors, CAQH, PECOS, NPPES)
3. Coordinate facility privileging and ensure compliance with Joint Commission, NCQA, and state-specific regulations
4. Maintain accurate and up-to-date provider files, licenses, certifications, and credenti...