Credentialing Associate (Part-Time)

Provider Services supports all aspects of provider and organizational compliance across enrollment, credentialing, and licensure. This contract role is primarily responsible for organizational licensure management for peers and non-clinical staff, ensuring all required licenses, registrations, and compliance items remain active, current, and audit-ready. This role will also provide backup support to provider enrollment and credentialing functions, including follow-ups, status tracking, and system updates when required.

This role is critical to ensuring that all organizational licensure and provider-related compliance functions remain current, accurate, and audit-ready, while also supporting broader Provider Services operations as needed.

• Target Hours: 30 per week

• Schedule: Monday–Friday (Flexible / Hybrid)

• Track, monitor, and maintain all organizational licenses and registrations across applicable states
• Manage renewals, expirations, and supporting documentation to ensure continuous compliance
• Maintain accurate and up-to-date records in internal systems, trackers, and shared drives
• Coordinate with internal teams and external agencies to obtain required documentation
• Research state-specific requirements, regulations, and compliance standards
• Prepare documentation for audits, reviews, and internal reporting
• Identify risks or gaps in licensure and escalate as needed

• Assist with payer enrollment submissions and follow-ups
• Update credentialing systems with application statuses and documentation
• Maintain provider records including licensure, board certifications, and supporting documents
• Track timelines and ensure submissions are progressing within expected turnaround times
• Support CAQH updates and general provider data maintenance
• Communicate with payers and internal stakeholders regarding status updates

• Maintain and update spreadsheets, credentialing software, and internal tracking tools
• Ensure all documentation is organized, complete, and easily accessible
• Generate basic reports on licensure and enrollment status as needed
• Document all actions taken for compliance and audit purposes

Required:

• 3+ years experience in healthcare administration, credentialing, enrollment, and general compliance
• Strong organizational and tracking skills with high attention to detail
• Experience working with spreadsheets and document management systems
• Ability to manage multiple deadlines and priorities

Preferred:

• Experience with provider enrollment, credentialing, or licensing processes
• Knowledge of Medicare, Medicaid, and commercial payer processes
• Familiarity with CAQH and credentialing platforms
• Understanding of healthcare regulatory requirements

• Detail-oriented and deadline-driven
• Strong research and problem-solving skills
• Clear written and verbal communication
• Ability to work independently and as part of a team
• Adaptability in a fast-paced, evolving environment