Credentialing Specialist, One Medical Credentialing

Amazon • North, SC

5d • Remote

About The Position

Are you someone who finds genuine satisfaction in untangling complex processes, naturally organizes and systematizes chaos, and is highly-motivated by tangible work that directly translates to helping patients find better access to healthcare?

The Amazon One Medical Credentialing team is looking for a self-motivated, customer-obsessed problem solver who thrives on being the behind-the-scenes force that helps clinicians focus on what they do best–care for patients. As a Credentialing Specialist, you'll guide new practitioners through onboarding, help them navigate intricate regulatory requirements, and build processes that eliminate friction and waste. If you're energized by autonomous work, love the satisfaction of checking off a well-organized task list, and get excited about learning something new every day while making clinicians’ jobs easier—this is the role for you!

You'll serve as the remote primary Credentialing Specialist to support 3-4 Southeast markets, ensuring new practitioners are in-network with insurance payors and compliant with state and federal regulations from day one—and throughout their entire tenure.

Why This Role Is Different:
Your work has an immediate, visible impact: This role entails much more than processing paperwork. You are a critical link that activates talented providers and helps get them in front of patients faster. Every application you perfect, every license you renew, and every insurance hurdle you clear directly translates to better access to care for our members.
You own your domain: This isn't micromanaged work. You will be supported by a manager and broader team of Credentialing Specialists but have the autonomy to approach your work and solve problems in your way, to become the go-to expert for your markets.
Your ideas matter here: We're a team that values continuous improvement. When you see a better way to do something, we want to hear your ideas and help find ways to implement ways of working that bring the whole team new levels of efficiency.
Build expertise that's in demand: Healthcare credentialing is a specialized skill set. You'll develop deep knowledge that opens doors across the healthcare industry.
No credentialing experience required—just the right mindset: If you're intellectually curious, like to dive deep, and are a fast learner with exceptional organizational skills and a customer service heart--we'll teach you everything else you need to succeed.

Requirements

• Bachelor's degree or equivalent
• 3+ years of healthcare credentialing experience (hospital, payor, or provider credentialing) OR 3+ years experience in a high-volume healthcare operations role leading a team, program, or process (ex. inventory, billing, etc.) OR 2+ years experience in an Executive Assistant role that required project management and managing stakeholders to complete work to hard deadlines.
• 2+ years owning a program or process in an ambiguous environment with a proven track record of delivering results without clearly defined procedures or step-by-step guidance—demonstrating ownership and learning agility.
• 2+ years in role that required handling highly sensitive information with strict confidentiality and professionalism, maintaining the highest standards of privacy and discretion
• Technical proficiency with Google Workspace (GSuite), Adobe Acrobat Pro, Excel, and Microsoft Office applications. Must have experience navigating multiple external portals and systems to complete work.

Nice To Haves

• 2+ years in role that required managing relationships with external stakeholders (ex. hospitals, payors, regulatory bodies) to influence outcomes, negotiate timelines, and resolve complex issues against hard deadlines
• 2+ years in a role that required understanding and translating complex operational processes into clear, actionable guidance, both written and verbal.

Responsibilities

• Provider Lifecycle Management & Risk Mitigation: Own credentialing for 3-4 Southeast markets, guiding clinicians through onboarding as well as any other movement such as practice transitions or departures. Stay ahead of compliance issues across state lines and practice models, building compliant pathways that protect providers and the organization.
• Strategic Payor & Hospital Partner Relations: Build strong relationships with key decision-makers at hospitals and insurance companies who control application timelines. Leverage these partnerships to accelerate approvals, clear obstacles early, and turn external partners into advocates for One Medical's growth.
• Compliance Oversight & Regulatory Intelligence: Keep providers in full compliance with state and federal regulations by proactively managing renewals, tracking cycles, and staying current on evolving requirements. Be the credentialing authority who spots risks early, translates complex regulations into clear guidance, and gives providers confidence to practice across states.
• Data Integrity & Compliance Reporting: Maintain flawless provider databases. Ensure every credential, license, and enrollment is properly recorded while safeguarding strict confidentiality. Track performance metrics, identify patterns signaling emerging risks, and deliver insights that drive strategic decisions.
• Continuous Improvement & Cross-Functional Collaboration: Drive process innovation by evaluating current workflows, identifying inefficiencies, and implementing improvements that raise operational standards. Collaborate with Credentialing Specialists across all markets on cross-district initiatives, share best practices, and contribute to enterprise-wide projects that enhance provider experience and organizational compliance posture.

Benefits

• health insurance (medical, dental, vision, prescription, Basic Life & AD&D insurance and option for Supplemental life plans, EAP, Mental Health Support, Medical Advice Line, Flexible Spending Accounts, Adoption and Surrogacy Reimbursement coverage)
• 401(k) matching
• paid time off
• parental leave

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level