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Credentialing Specialist

Remote:

Full Remote

Contract:

Full time

Experience:

Junior (1-2 years)

Work from:

United States

Offer summary

Qualifications:

1+ years of relevant Credentialing Management experience., Familiarity with NCQA standards preferred., Experience with Google Suite and Adobe., CRM tool experience is a plus..

Key responsabilities:

Manage end-to-end credentialing for providers.
Collaborate with internal and external stakeholders.

Verifiable SME https://www.verifiable.com/

51 - 200 Employees

See more Verifiable offers

Job description

About Us:

Verifiable provides industry-leading, API-first solutions to automate credentialing and provider network management for the healthcare industry. Our software is used by some of the largest and fastest growing healthcare companies like Humana, TriWest, Spring Health, Modern Health, Talkspace and Grow Therapy. We are an official Salesforce vendor, and the #1 fastest-growing ISV partner on the Salesforce app exchange in 2023.

About You:

Our credentialing team is core to our business and is responsible for helping our clients credential their providers so patients can receive care safely & as soon as possible. In this role, you'll be working with clients at the forefront of the healthcare, credentialing a variety of provider types across multiple states. You’re a great fit for this role if you love the details of credentialing, primary source verification, and working to credential multiple provider types in a fast paced environment. Ideally, you are also highly motivated by doing high-quality, efficient work for clients across the healthcare industry. We also hope you also are excited about the opportunity to shape what credentialing looks like and you thrive working with a close-knit, collaborative team.

What You'll Own & Improve:

Credentialing providers end-to-end, at times managing high volumes of credentialing caseloads

Pioneering best practices & new workflows to manage provider credentialing

Collaborating cross-team, with both internal and external stakeholders, to continuously improve the way we work

Research to define our policies, procedures, and processes

An eye for streamlining processes and best practices to make the messy world of healthcare provider credentialing more organized.

What you already know:

You have 1+ years of relevant Credentialing Management experience (i.e Physicians, Advanced Practice Providers) and ideally are familiar with NCQA standards.

You are a clear communicator with excellent attention to detail, organization, and prioritization skills

You have professional experience utilizing tools Google Suite (Gmail, Google Docs) and Adobe (even better if you’ve used Salesforce or a comparable CRM tool before)

You work fast and love the healthcare tech industry

You’re a professional through and through, and can work effectively with a wide range of stakeholders through both verbal & written communication.

You’re able to balance more than one responsibility at a time, and enjoy a day that blends solo heads-down work alongside collaboration with a team.

More About Verifiable:

-We’ve grown to over 100 employees in 5 years. Steady revenue growth allowed us to secure a $27M Series B led by Craft Ventures, bringing us to $47M in total funding.

-We value the many benefits of remote work, so we’re fully distributed across the US and internationally.

-Benefits include Health/Vision/Dental plans, unlimited PTO, new Apple equipment, and startup equity as part of your comp package.