Credentialing Specialist III

Cisive•Remote - Maryland, MD

13d

About The Position

The Credentialing Specialist III is an experienced resource with cross-functional expertise across LicenseManager Pro and SanctionCheck. The role independently investigates and resolves complex or unusual cases, contributes to process improvements, and mentors Credentialing Specialists I and II. It partners with Supervisors and the Quality team to identify process gaps and recommend improvements, provides feedback on workflow efficiency and case-handling practices, and models consistent performance and professionalism. The position also supports data management and work across multiple units and workflows as business needs evolve. Core work includes researching, validating, entering, and documenting credentialing and licensure information in accordance with client requirements and applicable compliance standards. The work may be performed in a professional office environment or remotely. For candidates hired into Global Shared Services Philippines, onsite work in Quezon City with a shifting schedule is required.

Requirements

High school diploma or equivalent required.
Strong attention to detail and ability to follow structured processes.
Demonstrated ability to navigate the internet for research activities.
Strong written and verbal communication skills.
Ability to multitask, meet deadlines, and work in a fast-paced environment.
Advanced workflow knowledge and investigative skills.
Problem-solving and decision-making abilities.
Strong interpersonal and mentoring skills.
Ability to adapt quickly to new processes, tools, and client needs.

Nice To Haves

Associate or bachelor’s degree preferred for specific levels.
Experience in background screening, credentialing, or compliance research preferred.
Proficiency with Microsoft Office Suite and case management systems.
Progression through Levels II–IV requires demonstrated proficiency, initiative, and peer support contributions.

Responsibilities

Investigate and resolve complex or unusual cases independently.
Mentor Credentialing Specialists I and II and support their training and development.
Partner with Supervisors and the Quality team to identify process gaps and recommend improvements.
Provide feedback on workflow efficiency and case-handling best practices.
Serve as a peer leader by modeling consistent performance and professionalism.
Review and analyze documentation from vendors, regulators, and professional boards.
Research, verify, and enter credentialing and licensure information according to client requirements.
Apply compliance standards and regulatory rules to ensure data accuracy.
Monitor case progress, escalate complex issues when appropriate, and document findings in detailed case notes.
Perform data entry across multiple units and adapt to tasks across multiple workflows as business needs evolve.
Support quality assurance through structured training and performance standards.