Credentialing Specialist

Glycare•Jacksonville, FL

10d•$60,000 - $70,000•Onsite

About The Position

About GlyCare GlyCare is a hospital-based, consultative inpatient diabetes management service. Our team of Nurse Practitioners and Endocrinologists provides evidence-based glycemic management for non-ICU hospitalized patients , improving outcomes, reducing provider burden, and standardizing care across facilities. We partner directly with hospitals— no outpatient clinics, no traditional practice model —and are rapidly expanding across multiple states. Why Join GlyCare: Be part of a rapidly growing, hospital-based clinical program Work in a model that is standardized, evidence-based, and outcomes-driven Play a key role in expanding into new hospitals and states High visibility role with direct impact on operational success Position Overview: We are seeking an experienced Credentialing Specialist to lead hospital privileging and payer enrollment for a growing, multi-state provider group. This is a high-impact role responsible not only for execution, but also for building scalable processes. The ideal candidate can navigate complex hospital systems and payers—and translate state-specific requirements into standardized workflows (SOPs) to support rapid expansion. Salary Range: $60,000 – $70,000 Experience: 4–6 years (multi-state strongly preferred) Executes credentialing and enrollment processes with minimal supervision Supports SOP development and process improvement Leads complex credentialing efforts across multiple states and hospitals Owns SOP development, workflow design, and scaling processes Acts as internal subject matter expert and escalation point

Requirements

4+ years of credentialing experience (hospital + payer enrollment required)
Experience with hospital-based groups (not outpatient-only credentialing)
Strong knowledge of: Medical staff processes & privileging Medicare, Medicaid, and commercial payer enrollment CAQH, NPPES, PECOS, and Medicaid portals
Proven ability to research requirements and build SOPs/workflows
Ability to manage high volume and tight timelines (90–120 day cycles)
Strong organizational, problem-solving, and communication skills
High attention to detail and ability to work independently

Nice To Haves

Experience supporting multi-state credentialing (preferred)

Responsibilities

Hospital Credentialing & Privileging Manage end-to-end hospital credentialing and privileging for APPs and physicians
Serve as the primary liaison with medical staff offices
Track applications through committee cycles (Credentialing, MEC, Board)
Ensure timely approvals aligned with onboarding and go-live timelines
Payer Enrollment Manage enrollment and re-credentialing with Medicare, Medicaid, and commercial payers
Maintain provider participation across all required payers and facilities
Oversee CAQH, NPPES, PECOS , and state Medicaid portals
Multi-State Expansion & SOP Development (Key Focus) Research state-specific licensure, credentialing, and payer requirements
Build and maintain standard operating procedures (SOPs)
Create scalable, repeatable workflows for new market entry
Identify inefficiencies and improve turnaround times
Tracking & Compliance Proactively track all licenses, certifications, malpractice, and expirations
Ensure no gaps in privileges, enrollment, or compliance
Maintain accurate provider records and credentialing files
Document all activities within credentialing systems