Credentialing Senior Specialist

CVS Health

9d • $19 - $42

About The Position

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary The Credentialing Specialist is responsible for managing and maintaining the credentialing and recredentialing processes for healthcare providers who are joining, or already participating in the network. This role ensures that all providers meet regulatory, payer, and organizational requirements, and that all credentialing activities are completed timely and accurately. The specialist maintains Credentialing systems and works closely with providers to verify qualifications including education, training, licenses, certifications, work history, and other essential business and credentialing requirements.

Requirements

• 1-3 years healthcare provider credentialing experience
• Knowledge of CAQH, NPDB, EPDB
• High School Diploma or equivalent

Nice To Haves

• Proficiency with Microsoft Office Suite (Word, Excel, Outlook, Teams)
• Strong attention to detail
• Effective written and verbal communication
• Ability to learn new systems/programs quickly

Responsibilities

• managing and maintaining the credentialing and recredentialing processes for healthcare providers
• ensures that all providers meet regulatory, payer, and organizational requirements
• maintains Credentialing systems
• works closely with providers to verify qualifications including education, training, licenses, certifications, work history, and other essential business and credentialing requirements.

Benefits

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED