Credentialing Specialist

Job not on LinkedIn

🔥 11 minutes ago

🤠 Texas – Remote

🤠 Texas – Remote

⏱ Part Time

🟢 Junior

🚫👨‍🎓 No degree required

👻 Ghost score 12%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Choctaw Global

WebsiteLinkedInAll Job Openings

11 - 50 employees

Founded 2017

🎖️ Defense

🚀 Aerospace

🏛️ Government

Defense • Aerospace • Government

Choctaw Global is a holding company created by the Choctaw Nation of Oklahoma in 2017 to serve as its diversity arm across industries and geographies. It holds and manages a family of businesses active in government contracting, defense and aerospace, commercial operations, manufacturing, professional services, operations support, and investment activities. The site lists subsidiaries and groups including Choctaw Manufacturing Group, Choctaw Professional Services Group, Choctaw Operations Support Group, and OKA ROWPU.

📋 Description

• Manage full-cycle credentialing and re-credentialing activities for clinical and ancillary providers • Conduct primary source verification of licensure, education, training, certifications, and employment history • Collect, review, and maintain credentialing documentation and provider files • Upload and maintain documentation in the MD-Staff-approved credentialing software system • Conduct NPDB queries, sanctions checks, background checks, and other required screenings • Prepare and submit credentialing packets to military treatment facilities and applicable governing or oversight organizations • Coordinate provider privileging and appointment processes with military treatment facility personnel and other stakeholders • Track licenses, certifications, and expirable credentials to ensure timely renewals and continued compliance • Communicate with providers and third-party organizations to obtain missing or incomplete documentation • Conduct periodic audits of credentialing files for accuracy, completeness, and compliance • Collect, analyze, and report credentialing data and compliance metrics • Prepare reports on credentialing status, timelines, and compliance • Identify process improvement opportunities and make recommendations • Remain current on credentialing requirements, regulations, standards, and best practices • Perform other duties as assigned

🎯 Requirements

• High school diploma or equivalent • At least one (1) year of healthcare credentialing experience • Experience processing credentialing applications, primary source verifications, and compliance documentation • Experience using MD-Staff software is highly preferred • Knowledge of credentialing processes, primary source verification, and regulatory compliance • Familiarity with healthcare accreditation standards and credentialing best practices • Strong attention to detail and ability to manage high-volume, deadline-driven workflows • Proficiency with Microsoft Office and credentialing and/or database systems • Associate degree in Healthcare Administration, Business Administration, or a related field preferred • Experience with DoD, DoW, or DHA credentialing requirements and systems preferred • Experience supporting credentialing activities at a military treatment facility preferred • Credentialing certification such as Certified Provider Credentialing Specialist (CPCS) preferred • Familiarity with NCQA and/or Joint Commission standards preferred • Experience with additional credentialing software platforms preferred • Ability to manage multiple providers, requirements, deadlines, and expiring credentials • Ability to communicate professionally with providers, government personnel, internal stakeholders, and external organizations • Ability to prioritize competing deadlines in a high-volume environment • Ability to identify missing information and resolve issues • Understanding of confidentiality and protection of sensitive provider and healthcare information

🏖️ Benefits

• Part-time contract position • 15 to 25 hours per week, not to exceed 30 hours per week • Opportunity to support programs benefiting Service Members and their families • Work as part of a professional team dedicated to quality, compliance, and exceptional service