Credentialing Specialist

Location: Remote within the United States; Pacific Standard Time hours required. Travel flexibility is expected as needed.

Company

hirify.global supports community oncologists through a patient-centric, physician-driven, and technology-powered healthcare model.

What you will do

• Manage credentialing and re-credentialing for physicians and advanced practice providers.
• Complete, submit, and track credentialing applications with managed care organizations and hospitals.
• Apply for and validate hospital privileges and obtain malpractice insurance policies.
• Maintain CAQH applications, provider databases, credentialing files, and confidential documentation.
• Track clinical licenses and continuing education credits, notify providers of deficiencies, and submit audit documentation.
• Coordinate provider completion notifications, onboarding support, and removal of departing providers from payer, hospital, and EMR systems.

Requirements

• 2+ years of related credentialing experience; experience leading credentialing activities in a large or multi-practice provider organization is required.
• Current working knowledge of enrollment processes with California commercial and government payers.
• Experience applying NCQA criteria and third-party payer regulations.
• Experience completing hospital credentialing applications.
• Proficiency with Microsoft Office Suite and web-based applications.
• Strong research, problem-solving, organizational, communication, confidentiality, and deadline-management skills.

Nice to have

• Bachelor’s degree.
• Professional certifications.

Culture & Benefits

• Values-driven, patient-centric working environment.
• Remote work arrangement with required Pacific Standard Time availability.
• Travel flexibility as needed.
• Opportunity to support independent physicians and patients living with cancer and other diseases.