• Job Description

  Req#: CREDE004780

  Position: Credentialing Specialist - Onboarding - Remote

  Position: Credentialing Specialist - Remote

  Subtype: (Onboarding)

  Monogram Health is seeking a detail-oriented and experienced Credentialing Specialist to support onboarding functions within our Licensing and Credentialing (L&C) Department. This remote role is responsible for managing the internal onboarding process for new practitioners, ensuring a timely and seamless transition through licensing, primary source verification, and payor enrollment—enabling clinicians to engage with patients as quickly as possible.
  
  We are looking for a self-directed professional with expertise in practitioner demographic intake, process automation, and efficiency. The Credentialing Specialist will serve as the primary guide for new practitioners throughout the onboarding journey, from completing credentialing packets to setting up accounts for Medicare and CAQH, while ensuring that all demographic and licensure information is accurate and complete.
  
  This position requires a high level of attention to detail to identify, analyze, and resolve data discrepancies and timing issues that may impact the organization’s ability to license, credential, enroll, or privilege providers. The Credentialing Specialist is also responsible for maintaining accurate and comprehensive records in credentialing software and shared drives, which may be subject to internal, health plan, and NCQA audits.
  
  Additional responsibilities include managing practitioner data updates on the Master Clinician Roster via Smartsheet, distributing weekly onboarding reports to regional leadership, and initiating new work requests within credentialing systems by setting up workflows and tracking progress for the team.
  
  Ideal candidates will have prior experience in large clinical organizations, medical staff offices, third-party payor enrollment, or credential verification organizations, with backgrounds in roles such as Intake Specialist, Provider Enrollment Specialist, or Medical Staff Office professional.

  Key Traits for Success
  • Persistent and process-driven
  • Detail-oriented with a focus on accuracy
  • Organized and able to prioritize across multiple workstreams
  • Strategic thinker with adaptability to evolving needs

  Roles and Responsibilities

  • Collaborate effectively with internal and external team members
    • Lead the onboarding process for new practitioners, including licensing, credentialing, and payor enrollment
    • Communicate with management, HR, recruiting, and executive leadership to facilitate escalations and move onboarding forward
    • Prepare and send forms and correspondence to practitioners
    • Collect and verify all necessary signatures and documentation. Maintain onboarding packet in DocuSign and resolve Docusign issues
    • Enter practitioner demographics and enrollment data in alignment with NCQA standards and company policy
    • Maintain document integrity within credentialing software and shared drives
    • Track and document all lifecycle events for each provider
    • Generate ad-hoc reports and contribute to special projects as needed
    • Manage updates to the Master Clinician Roster and send weekly reports to leadership
    • Load L&C work requests into systems and assign workflows accordingly
    • Maintain confidentiality and ensure data security at all times
    • Engage in self-guided learning using available departmental resources
    • Provide cross-coverage support for payor enrollment and credentialing as needed
    
    

  Ideal Qualities

  • Thoughtfulness: Ensure a positive first experience for onboarding practitioners, contributing to a welcoming and thorough onboarding program
  • Detail-Oriented: Capture accurate information during onboarding to set the team up for success
  • Resourcefulness: Effectively navigate systems and resolve onboarding issues independently
  • Engagement: Communicate proactively and contribute to a collaborative team culture

  Position Requirements

  • Experience 3+ years in medical staff services or a related field with a focus on licensing, payor enrollment, or credentialing support
  • Education: Bachelor’s degree preferred; CPCS or CPMSM certification is a plus

  • Technical Proficiency:
    • Proficient in credentialing software and Microsoft Office (especially Excel and Word)
    • Familiar with Adobe Acrobat and DocuSign
    • Able to learn new systems and processes quickly

  • Organizational Skills: Skilled in managing multiple application processes simultaneously, ensuring that all submissions are well-documented and on track for completion.
  • Able to manage multiple projects simultaneously and meet deadlines
  • Strong research and critical thinking abilities
  • Comfortable making independent decisions and escalating when appropriate
  • Consistently communicates anticipated delays and works proactively to meet business needs
  • Flexibility: Must be adaptable to workload fluctuations driven by market expansion and business demands; cross-training provided for backup responsibilities.

  Benefits

  • Opportunity to work in a dynamic, fast-paced and innovative care management company that is transforming the delivery of kidney care
  • Competitive salary and opportunity to participate in company’s bonus program
  • Comprehensive medical, dental, vision and life insurance
  • Flexible paid leave & vacation policy
  • 401(k) plan with matching contributions

  About Monogram Health

  Monogram Health is a next-generation, value-based chronic condition risk provider serving patients living with chronic kidney and end-stage renal disease and their related metabolic disorders. Monogram seeks to fill systemic gaps and transform the way nephrology, primary care and chronic condition treatment are delivered. Monogram’s innovative, in-home approach utilizes a national nephrology practice powered by a suite of technology-enabled clinical services, including case and disease management, utilization management and review, and medication therapy management services that improve health outcomes while lowering medical costs across the healthcare continuum. By focusing on increasing access to evidence-based care pathways and addressing social determinants of health, Monogram has emerged as an industry leader in championing greater health equity and improving health outcomes for individuals with chronic kidney and end-stage renal disease.

  At Monogram Health we believe in fostering an inclusive environment in which employees feel encouraged to share their unique perspectives, leverage their strengths, and act authentically. We know that diverse teams are strong teams, and welcome those from all backgrounds and varying experiences.

  Qualifications

  Education

  Preferred

  Bachelors

  Equal Opportunity Employer
  This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

• About the company

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