Credentialing Specialist - Work from Home

Sagility

1d•$20•Remote

About The Position

Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through service offerings for clinical, case management, member engagement, provider solutions, payment integrity, claims cost containment, and analytics. Sagility has more than 25,000 employees across 5 countries. Job Description: BroadPath, a Sagility Company, is hiring experienced Credentialing Specialists to join our remote team! Credentialing Specialists support our health plan operations by ensuring timely, accurate provider credentialing. This role is key to maintaining compliance with internal standards and external regulations while supporting a high-quality provider experience. At BroadPath, a Sagility Company, we believe that transparency, authenticity, and collaboration are the keys to building strong, connected remote teams. Being on camera is an integral part of our culture. It is how we build relationships, share ideas, and stay engaged. If you are someone who values open communication, connection, and teamwork, you will thrive in our environment where showing up authentically matters. What to Expect: On-camera participation during interviews, training, team meetings, and regular check-ins. Face-to-face discussions sparking collaboration and engagement A supportive atmosphere where you can express yourself openly and be part of a team that values your contributions. Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through service offerings for clinical, case management, member engagement, provider solutions, payment integrity, claims cost containment, and analytics. Sagility has more than 25,000 employees across 5 countries. Compensation: BroadPath a Sagility Company has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location.

Requirements

1+ years of experience of provider credentialing for a health plan
Strong organizational and time management skills
Ability to meet deadlines and handle high-volume work
Able to work independently and in a team setting
Strong attention to detail and problem-solving skills
Familiarity with NCQA, CMS, and state credentialing standards
Excellent written, verbal, and interpersonal communication skills

Responsibilities

Verify provider credentials through approved sources in a timely and accurate manner
Track and process credentialing and re-credentialing applications
Enter and update provider information in the credentialing database
Maintain and update provider demographics
Monitor and manage data from delegated entities
Communicate with providers or their office staff regarding credentialing status and required documentation
Identify and report non-compliance or credentialing issues to the supervisor
Ensure confidentiality of sensitive data and documents
Perform other duties as assigned