Provider Credentialing Specialist (Part-Time)

Your Responsibilities

As a Provider Credentialing Specialist, you will support the Clinical and Operations teams by keeping our providers credentialing files accurate, current, and audit-ready.

Credentialing & Provider Files

• Review credentialing files and work with providers to obtain any missing, incomplete, or expiring information.
• Update and manage provider CAQH profiles and maintain accurate records in the credentialing database.
• Complete provider credentialing and re-credentialing applications; monitor applications and follow up as needed.
• Maintain copies of current state licenses, malpractice coverage, and other required credentialing documents for all providers.
  
  

License & Compliance Tracking

• Conduct license checks and maintain up-to-date records of all provider licenses.
• Track license and certification expirations for all providers to ensure timely renewals.
• Track provider licenses, certifications, and professional liability insurance, and ensure practice addresses stay current with health plans, agencies, and other entities.
• Maintain working knowledge of health plan credentialing requirements across the states where the company operates.
  
  

Communication & Coordination

• Serve as a point of contact for providers, giving them updates on credentialing status.
• Help compile information for the Credentialing Committee and maintain records of Committee decisions.
• Support the annual audit process that maintains delegated credentialing status with applicable health plans.
  
  

What You Will Need to Succeed

• Experience: 1–2+ years of credentialing experience, ideally within behavioral or mental health (required).
• Experience managing CAQH Provider Profiles (required).
• Experience using Airtable and Google Sheets (preferred).
• Excellent written and verbal communication skills, with strong attention to detail and organization.
• Comfort working independently and asynchronously, coordinating across time zones.
• Genuine alignment with the company's mission and values.
  
  

Role Details

• Type: Part-time, independent contractor
• Hours: [XX hours/week — TBD]
• Location: Remote
• Compensation: [Hourly rate, DOE — TBD]