[Hiring] Credentialing Specialist I @Centene Corporation

Role Description

• Perform credentialing and related activities based on plan specifications.
• This is a fully remote role and is open to candidates nationwide.
• Perform credentialing and re-credentialing activities according to plan specifications and in compliance with NCQA standards.
• Communicate with professionalism with physicians, office managers, providers, and other third parties to secure needed information.
• Gather information for Credentialing Committee meetings.
• Process, track and file credentialing applications within established standards.
• Generate and utilize reporting to support business functions.
• Ability to thrive in a fast-paced production environment while maintaining quality.
• Ability to perform PSV for education verification.

Qualifications

• Associate’s degree, or high school diploma/equivalent and 1+ years of data entry, customer service, medical office, provider data management, credentialing or healthcare operations experience, preferably in a managed care or insurance environment.
• Ability to perform PSV for education verification is strongly preferred.

Requirements

• Pay Range: $19.43 - $32.98 per hour.

Benefits

• Competitive pay.
• Health insurance.
• 401K and stock purchase plans.
• Tuition reimbursement.
• Paid time off plus holidays.
• Flexible approach to work with remote, hybrid, field or office work schedules.
• Total compensation may also include additional forms of incentives.
• Benefits may be subject to program eligibility.

Company Description

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act.