Credentialing Coordinator

Location & Remote Work:
Office: 4055 Valley View Lane, TX
Local candidates preferred
Remote option available
If within 4050 miles: expected on-site every other Tuesday + monthly town hall

Position Summary:
The Network Activation Credentialing Specialist supports network operations, compliance monitoring, and provider data integrity.
The role ensures network providers comply with company, state, and regulatory body requirements, including NCQA, URAC, Medicare, Medicaid, and delegation agreements, by reviewing, validating, and analyzing provider information. The Credentialing Specialist also drives process improvements, handles stakeholder inquiries, and provides administrative and operational support to meet departmental needs.

Roles & Responsibilities:
Support diverse network activation projects and operations to ensure department-wide compliance and efficiency.
Manage clinician enrollment, state licensure applications, and renewals according to state and federal guidelines.
Ensure strict adherence to business, state, and accrediting body regulatory requirements, including NCQA, URAC, Medicare, Medicaid, and delegation agreements.
Maintains data tracking and facilitates provider data integrity across organizational units.
Prepare education and training materials on Network Activation policies, procedures, and quality standards, and conduct training to enforce standards.
Drive process improvement initiatives, manage stakeholder inquiries, and execute administrative and operational support to accommodate flexible departmental needs.

Required Qualifications:
3-5 years of successful work experience in a Network Activation or credentialing/Licensing role

Preferred Qualifications:
Candidates local to the Dallas area who can commute to the headquarters in Farmers Branch are preferred.
NAMSS Certification as a Certified Provider Credentialing Specialist (CPCS) within 2 years of eligibility to certify.
Intermediate skills in Google Suite Applications such as Gmail, Google Calendar, Google Sheets and Slide Presentations

Education:
High School Diploma

Intake Call Notes:
Position Details:
Role: Credentialing Coordinator
Category: Administrative (not technical)
Duration: 12 weeks
Start Date: As Soon As Possible

Work Schedule:
Flexible shifts between 7:00 AM 5:00 PM CST
Options for 30-minute or 1-hour lunch breaks
Must work CST hours regardless of time zone

Experience & Skills:
Preferred Experience: 13 years
Credentialing or licensure experience highly preferred

Top 3 non-negotiables:
Ability to verify licensure and education
Experience filling out applications
Strong attention to detail and admin skills

Compliance:
Candidate will have access to PHI (Personal Health Information)
Drug test required due to data sensitivity

Hiring Process:
Interview Platform: Google Meet