Credentialing Specialist - Clinical Collaboration

CVS Health • Dallas, TX

7d • $17 - $28 • Hybrid

About The Position

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. Summary: The Credentialing Specialist (Collaborative Physician Specialist) is responsible for overseeing and managing the administrative and compliance processes related to the collaboration agreements between Nurse Practitioners (NPs), Physician Assistants (PAs), and their designated supervising or collaborating physicians. This role ensures alignment with state laws, regulatory standards, and organizational policies while supporting timely onboarding, renewals, and effective communication between all stakeholders. Location / Logistics: This role is open to remote candidates but preference is for candidates in Dallas, TX area that can work Hybrid every other Tuesday in office. (In office schedule is subject to change based on business needs.) Our Dallas offices are located at: 4055 Valley View Ln #700, Dallas, TX 75244

Requirements

• 2+ years of experience in healthcare operations, credentialing, or provider coordination, preferably with knowledge of collaborative practice requirements
• Experience in Accounts Payable
• Familiarity with regulatory standards (state medical boards, CMS) related to NP/PA collaboration
• Strong organizational skills with keen attention to detail
• Proficiency in systems such as MD-Staff, Google Suite, PowerBi, and Microsoft Office Suite
• Excellent verbal and written communication skills
• Ability to manage multiple deadlines and work independently in a fast-paced environment

Nice To Haves

• Experience with multi-state collaboration coordination
• Understanding of payer compliance and credentialing timelines
• Prior experience supporting provider relations or legal documentation workflows
• Adapt to constant change in rules and regulations with minimal supervision
• Meticulous/Conscientious when it comes to state/company compliance

Responsibilities

• Coordinate and maintain up-to-date collaborative practice agreements in accordance with applicable state and plan regulations
• Act as a liaison between clinicians and collaborating physicians to facilitate timely agreement execution and renewals
• Track and monitor active and pending collaborations, including expiration dates, required documentation, and state-specific requirements
• Ensure compliance with all credentialing, licensing, and collaborative requirements through regular audits and reporting
• Collaborate with credentialing, legal, and provider operations teams to resolve discrepancies or delays in collaboration processes
• Maintain accurate and secure records of all collaborative agreements in internal systems (e.g., MD-Staff, PowerBi)
• Provide timely updates and communication to clinicians and leadership on collaboration statuses
• Stay current with changes in state laws and guidelines regarding supervision and collaboration practices for advanced practice providers

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.
• For more information, visit https://jobs.cvshealth.com/us/en/benefits

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed
• Number of Employees: 5,001-10,000 employees