Credentialing Professional, Variable Staffing Associate

🔥 1 minute ago

🇺🇸 United States – Remote

💵 $48.9k - $66.2k / year

⏱ Part Time

🟢 Junior

🟡 Mid-level

🎯 Recruiter

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

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Humana

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1961

🏥 Healthcare

🛡️ Insurance

⚕️ Healthcare Insurance

Healthcare • Insurance • Healthcare Insurance

Humana is a healthcare company dedicated to making a positive impact on the health of individuals, communities, and the healthcare system as a whole. With a focus on putting health first, Humana serves a diverse range of populations, including seniors and the military, providing Medicare Advantage HMO, PPO, and PFFS plans. Humana is committed to fostering a culture of belonging and mutual respect, offering competitive and flexible benefits to ensure the financial security of its employees and their families. The company prides itself on creating an inclusive workplace where everyone has the opportunity to succeed.

📋 Description

• Perform primary source verifications of licenses, certifications, and other required credentials • Monitor clinician credentials to ensure they remain current, active, and compliant • Maintain accurate credential information and supporting documentation in enterprise systems • Research and resolve licensure issues • Support internal and external audits by gathering and validating documentation • Generate reports, track credential status, and escalate compliance risks • Respond to inquiries from clinicians, leaders, and business partners regarding licensure requirements • Participate in process improvement initiatives • Report to a Credentialing Manager • Work as an individual contributor with no direct reports

🎯 Requirements

• Associate degree or equivalent experience in healthcare administration, credentialing, compliance, or related field • Proficiency with Microsoft Office and business systems • Strong attention to detail and organizational skills • Effective written and verbal communication skills • Ability to manage multiple priorities and meet deadlines • Experience in healthcare credentialing, licensure monitoring, compliance, or audit support preferred • Knowledge of regulatory and accreditation requirements preferred • Experience working with large data sets, reporting tools, and credentialing systems preferred • Minimum download speed of 25 Mbps and upload speed of 10 Mbps • Dedicated workspace without ongoing interruptions to protect member PHI/HIPAA information

🏖️ Benefits

• Paid time off • 401(k) retirement savings plan • Employee assistance program • Business travel and accident benefits • Limited benefits effective upon hire • Fully remote work arrangement • Occasional travel to Humana offices for training or meetings