Specialist, Credentialing

Lucet

15h•Remote

About The Position

At Lucet, we’re transforming whole-person care. We deliver integrated behavioral and physical health solutions that connect individuals to the right care at the right time—improving outcomes and overall well-being. Serving over 15 million lives across the U.S. and Puerto Rico, our model combines clinical expertise, compassionate care, and innovative technology to support healthier, more fulfilling lives. As part of the Lucet team, employees join a mission-driven organization committed to making a lasting impact. Whether through behavioral health navigation, in-home medical care, or 24/7 crisis support, our work is rooted in empathy, collaboration, and a shared passion for helping people thrive. At Lucet, we’re committed to creating a workplace where top talent thrives both personally and professionally. We offer a dynamic, mission-driven environment where your work has real impact, your unique background and experience are valued, and no two days are alike. If you’re passionate about meaningful work and delivering impactful results, we encourage you to apply! At Lucet, your work will directly support our mission to improve behavioral, physical, and social health—one member at a time.

Requirements

High school diploma and 4 years of healthcare-related experience OR Associates degree and 2 years of healthcare related experience or Bachelor’s degree and 1 years of healthcare related experience
2 or more years of previous credentialing and/or provider enrollment experience
Exceptional customer service skills
Excellent verbal, written, and oral communication skills
Ability to troubleshoot issues and problem solve
Proficient in Microsoft Suite
Ability to pass background check upon hire and throughout employment to include criminal felony & misdemeanor search, SSN validation/trace search (LEIE), education report (highest degree obtained), civil upper and lower search, 7-year employment report, federal criminal search, statewide criminal search, widescreen plus national criminal search, health care sanctions-state med (SAM), national sex offender registry, prohibited parties (OFAC) (terrorist watchlist), and a 10-Panel Drug Screen.
High-speed internet service (cable or fiber optic) with minimum download Speed of 20 Mbps, Upload Speed of 5 Mbps, and Maximum Latency of 100 milliseconds (must be installed before starting) required.
Frequent use of computer and phone systems
Must be able to constantly remain in a stationary, sitting position, communicate and exchange information with others, inspect information, perform repetitive motions with arms and fingers, interpret data, problem solve, make decisions, organize and plan, and maintain a positive and professional attitude in all situations.
Work is performed from home with company-provided equipment. Sitting for long periods of time is expected and use of fingers and hands for typing is necessary.
A quiet workspace with minimal background noise for calls.

Responsibilities

Manages end-to-end provider credentialing and enrollment while ensuring compliance and quality standards, and collaborates cross-functionally to maintain accurate, efficient, and regulatory-compliant provider operations.
Credential, re-credential, and enroll healthcare providers (clinicians and facilities) across state and federal programs
Maintain and update provider profiles (e.g., CAQH) and ensure accurate data within credentialing systems
Conduct audits of credentialing files to ensure completeness, accuracy, and identify discrepancies (e.g., gaps in work history)
Ensure adherence to NCQA standards, regulatory requirements, and organizational policies related to credentialing and data security
Partner with internal teams, providers, facilities, and external stakeholders to support credentialing processes
Utilize systems, troubleshoot issues, and maintain high-quality service while supporting ongoing operational needs

Benefits

Hourly compensation between $25.00 - $28.60, PLUS an annual performance-based, discretionary incentive.
Comprehensive health benefit options: Medical, dental, and vision coverage
401(k) with competitive employer match
Company-paid life and disability insurance
Paid parental leave and wellbeing incentives
Generous paid time off, including volunteer time
Flexible spending accounts for healthcare and dependent care
Professional development opportunities and tuition reimbursement
Remote work flexibility (role-dependent)
Opportunity for meaningful growth, both personally and professionally, where your unique background and experience is welcomed and valued.