Credentialing Specialist

Overview

The company is a rapidly growing consumer technology firm operating a suite of healthcare businesses, including our flagship brand BlueChew & MOD. Our mission is to better patients' lives through innovative healthcare solutions. With a team of 350 professionals across various specialties, we've built scalable pharmacy, telemedicine, and e-commerce platforms using cutting-edge technology. As we continue our accelerated growth trajectory, we're launching new products to expand our patient base and accelerate growth. Join us in tackling exciting challenges at the intersection of healthcare and technology.

We’re looking for a detail-oriented and organized Credentialing Specialist to join our team!

Reporting to the Credentialing Manager, the Credentialing Specialist is responsible for supporting all aspects of the credentialing and state licensing processes for our Medical Team, including Nurse Practitioners and Registered Nurses. This role works closely with the Credentialing Manager and Credentialing Lead to maintain accurate and up-to-date provider credentials, support licensing initiatives, ensure ongoing compliance with applicable requirements, and contribute to the successful implementation of departmental goals and initiatives.

Responsibilities & Duties

• Onboard and maintain credentialing of providers with state boards
• Manage and review credentialing files on credentialing platform for accuracy and completeness
• Perform primary source verifications via various state and national sources
• Obtain new and renewed state licenses for providers
• Participate in the development of internal credentialing processes
• Ensure compliance with applicable laws, licensing requirements, regulations, procedures, and policies

Education and/or Work Experience Requirements

• 2-3 years of relevant professional experience in credentialing
• Knowledge of credentialing principles, best practices, and medical terminology
• Ability to manage multiple projects and heavy workload simultaneously with a positive attitude
• Excellent attention to detail and time management skills
• Flexible and adaptable to changes/challenges
• People-oriented and collaborative
• Skill in establishing priorities with independent coordination of day-to-day aspects
• Ability to maintain confidentiality and discretion in all communications on behalf of credentialing applicants and/or applications
• Bachelor’s degree preferred or equivalent experience

We are looking for top talent that wants to make a measurable impact in an exciting, fast-paced environment. This role is fully remote.

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