CVS Health
Credentialing Sr Specialist
This job is now closed
Job Description
- Req#: R0614731
Employer Industry: Health Solutions
Why consider this job opportunity:
- Salary up to $35.29 per hour
- Eligible for bonuses, commissions, or short-term incentive programs in addition to base pay
- Comprehensive benefits including affordable medical plan options, 401(k) plan with matching contributions, and employee stock purchase plan
- Access to no-cost wellness programs, confidential counseling, and financial coaching
- Opportunity for career advancement within a leading health solutions company
- Supportive workplace culture that values diversity and belonging
What to Expect (Job Responsibilities):
- Serve as the primary point of contact for clinicians, managing the general email inbox and answering inbound phone calls
- Verify state licenses, exclusions lists, DEA's, board certifications, and Medicaid/Medicare enrollment verifications
- Enroll clinicians in Medicare and Medicaid in accordance with state and federal guidelines
- Apply for state licensure for clinicians
- Participate in pre-delegations and annual client audits
What is Required (Qualifications):
- High School Diploma
- 3-5 years of successful work experience in a credentialing role/department
- NAMSS Certification as a Certified Provider Credentialing Specialist (CPCS) within 2 years of eligibility
- Intermediate skills in Google Suite applications, including Gmail, Google Calendar, Google Sheets, and Slide Presentations
- Availability to commute hybrid to the employer's offices in Farmers Branch, TX
How to Stand Out (Preferred Qualifications):
- Experience in a healthcare-related credentialing role
- Familiarity with NCQA, URAC, Medicare, and Medicaid compliance requirements
- Knowledge of claims management and roster creation processes
#HealthSolutions #Credentialing #CareerOpportunity #CompetitiveBenefits #HybridWork
"We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately. We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer."About the company
At CVS Health, we share a clear purpose: helping people on their path to better health. Through our health services, plans and community pharmacists, we’re pioneering a bold new approach to total health. Making quality care more affordable, accessible, simple and seamless, to not only help people get well, but help them stay well in body, mind and spirit.
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