Credentialing Specialist

Job not on LinkedIn

🔥 4 minutes ago

🌽 Illinois – Remote

infoinfo

💵 $21 - $44 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

👻 Ghost score 0%

infoinfo
Apply Now
Find Similar Remote Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Logo of CVS Health

CVS Health

10,000+ employees

Founded 1963

🏥 Healthcare

⚕️ Healthcare Insurance

🛒 Retail

Healthcare • Healthcare Insurance • Retail

CVS Health is a leading American healthcare company dedicated to improving health access and affordability. The company focuses on a comprehensive approach that includes health services, health insurance, and pharmacy benefits management. Through its subsidiaries, such as Aetna and CVS Caremark, CVS Health offers a range of services that facilitate wellness, condition management, and affordable prescription drug coverage. CVS Health operates neighborhood pharmacies, provides mail-order pharmacy services, and manages specialty medication programs, aiming to make healthcare convenient and accessible for everyone. Driven by a mission to connect people with essential care services, CVS Health is committed to fostering healthier communities and supporting the wellbeing of all individuals.

📋 Description

• Work closely with physicians and the Associate of Managed Care Operations to obtain credentials and/or EMR access with hospitals in all Oak Street Health markets • Support verification processes with government agencies and insurance payers • Provide formal, detailed documentation of physicians’ professional histories • Thoroughly track credentialing processes from start to finish • Maintain online and paper databases of highly sensitive physician information and paperwork • Assist with physician onboarding • Ensure physicians maintain necessary credentials, including licensure and CMS enrollment • Provide regular credentialing progress updates to Oak Street Health teams

🎯 Requirements

• Associate’s degree or two years’ work experience • Computer proficiency • Attention to detail and strong organizational skills • Sense of urgency • Flexible and positive attitude • Professional communication skills • High level of integrity • U.S. work authorization • Ability to embody Oak Street values • Ability to maintain necessary physician credentials, including licensure and enrollment with CMS

🏖️ Benefits

• Collaborative and energetic culture • High levels of responsibility and rapid advancement • Headquarters located in the heart of Downtown, close to public transit options and restaurants • Paid vacation/sick time • Generous 401K match with immediate vesting • Medical, dental, and vision coverage • Retirement savings options • Wellness programs • Other resources supporting physical, emotional, and financial well-being • CVS Health bonus, commission or short-term incentive program eligibility

Apply Now

Similar Jobs

🕒 3 days ago

Pennant

1001 - 5000

🏥 Healthcare

⚕️ Healthcare Insurance

🧘 Wellness

Managed care credentialing specialist supporting Pennant’s home health, hospice, personal care, and senior living businesses. Managing applications, re-credentialing, compliance, and payer relationships.

🕒 4 days ago

Coloplast

10,000+ employees

🏭 Manufacturing

🏥 Healthcare

Credentialing specialist managing payer enrollment, licensing, and compliance for Comfort Medical. Supporting reimbursement operations for catheter and ostomy supply customers nationwide.

🕒 4 days ago

Highmark Health

10,000+ employees

🛡️ Insurance

💼 Consulting

📦 Logistics

Credentialing specialist managing practitioner credentials and privileges for Allegheny Health Network. Verifying qualifications, maintaining files, and supporting regulatory compliance.

🕒 5 days ago

Curana Health

1001 - 5000

🏥 Healthcare

🤝 B2B

⚕️ Healthcare Insurance

Credentialing Specialist reviewing facility credentials for Curana Health’s senior value-based care network. Ensuring regulatory compliance, accurate records, recredentialing, and committee reporting.

🕒 August 31

Sage Dental

1001 - 5000

🏥 Healthcare

⚕️ Healthcare Insurance

💊 Pharmaceuticals

Remote credentialing specialist managing NCQA-compliant dentist credentialing and verification files. Supporting Sage Dental Management’s dental care operations through audits, renewals, and internal coordination.

🇺🇸 United States – Remote

💰 Private Equity Round on 2012-09

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

infoinfo