Practitioner Mgmt Coord, Credentialing & Enrollment in Healthcare
Overview
Own credentialing and enrollment workflows at scale, ensuring compliance with NCQA, CMS, and health plan requirements. Work with providers, network partners, and internal teams to maintain accurate records and support audits. This role blends data management in Excel with cross-functional collaboration to keep credentialing timelines on track.
What You'll Do9
- 1Build and maintain initial credentialing and recredentialing inventories to meet turnaround times
- 2Track and monitor credentialing status across systems and reports
- 3Communicate approvals, denials, and updates to providers and internal partners
- 4Support provider enrollment activities with government and commercial payers
- 5Prepare tracking logs and reports for operational and audit purposes
- 6Collaborate with networks, health plans, and internal departments to resolve credentialing issues
- 7Escalate aging inventory and complex issues as appropriate
- 8Assist with credentialing audits and data validation
- 9Maintain accurate provider records, files, and databases
Requirements5
- 1High school diploma or equivalent required
- 22 years of healthcare credentialing or provider enrollment experience
- 3Strong proficiency in Microsoft Excel including sorting, filtering, reporting, and data management
- 4Excellent verbal and written communication skills
- 5Ability to manage multiple priorities in a fast-paced environment
Salary Insight
$50 - $89k per year
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