Credentialing Coordinator

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Credentialing Coordinator based in the United States. This role plays a key part in ensuring the accuracy, compliance, and timeliness of provider credentialing and recredentialing processes within a large healthcare environment. You will support the onboarding and ongoing verification of healthcare providers, helping maintain the integrity of network participation and payer relationships. The position involves close coordination with internal teams and external providers to collect, validate, and process critical documentation. You will also monitor expiring credentials, track applications, and ensure compliance with NCQA and CMS standards. This is a detail-driven, administrative role where precision, organization, and communication directly impact provider readiness and regulatory compliance. You will contribute to a fast-paced healthcare operations environment where quality and accuracy are essential to patient care delivery. Accountabilities In this role, you will manage end-to-end credentialing and recredentialing processes for healthcare providers, ensuring all data and documentation meet regulatory and organizational standards. You will support compliance efforts while maintaining accurate records and facilitating communication across stakeholders.

• Coordinate provider credentialing and recredentialing workflows, including application tracking and data entry into credentialing systems
• Perform primary source verification of provider credentials in compliance with NCQA and CMS standards
• Monitor expiring documents, sanctions, and compliance requirements to ensure continuous credentialing validity
• Review credentialing applications and request missing or incomplete information as needed
• Prepare and maintain credentialing files for review and audit readiness
• Communicate with internal teams and external providers to resolve credentialing-related inquiries and updates
• Maintain working knowledge of evolving NCQA and CMS credentialing standards
• Support special projects and operational initiatives as assigned by supervision

Requirements This role requires strong administrative skills, attention to detail, and the ability to manage structured processes in a regulated healthcare environment. The ideal candidate is organized, communicative, and comfortable working with data, documentation, and deadlines.

• High school diploma or equivalent with 1+ year of administrative experience, or associate/bachelor’s/master’s degree in lieu of experience
• Knowledge of NCQA and CMS credentialing regulations (preferred)
• Strong organizational and prioritization skills with the ability to manage multiple tasks
• High attention to detail and strong accuracy in data entry and documentation
• Proficiency in Microsoft Office, including Excel, and general computer systems
• Strong written and verbal communication skills in a professional environment
• Ability to work effectively in a fast-paced, deadline-driven setting
• Comfortable handling repetitive administrative tasks with sustained focus and accuracy
• Ability to adapt to changing workloads and operational priorities

Benefits

• Competitive full-time employment structure (40 hours per week)
• Comprehensive healthcare system environment with strong organizational stability
• Opportunity to support mission-driven healthcare operations
• Exposure to NCQA and CMS credentialing standards and processes
• Professional development in healthcare administration and compliance
• Collaborative and structured work environment
• Standard employee benefits package (health, dental, vision, and retirement options where applicable)
• Paid time off and recognized holidays (based on eligibility).

How Jobgether Works We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team. We appreciate your interest and wish you the best! Why Apply Through Jobgether? Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time. We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.