credentialing analyst

OneOncology

<div>OneOncology is positioning community oncologists to drive the future of medical care through a patient-centric, physician-driven, and technology-powered model to help improve the lives of everyone living with cancer and other diseases. Our team is bringing together leaders to the market place to help drive OneOncology&rsquo;s mission and vision.
Why join us? This is an exciting time to join OneOncology. Our values-driven culture reflects our startup enthusiasm supported by industry leaders in oncology, urology, technology, and finance. We are looking for talented and highly-motivated individuals who demonstrate a natural desire to improve and build new processes that support the meaningful work of independent physicians and the patients they serve.
Job Description:
The Credentialing Specialist will report to OneOncology&rsquo;s Credentialing Manager. The credentialing specialist is responsible for all aspects of the privileging and credentialing process for physicians and allied health professionals. The Specialist will process applications, verify information, research application details, and assure processes are in accordance with medial staff procedures. The specialists will provide consistent, accurate, and timely credentialing support, enhancing the organizations ability to provide professional services. Work includes the accurate, timely and documented verification of the information provided by the application and maintenance of the highly confidential credentialing related files.
Responsibilities<ul><li>
Credentialing and re-credentialing of physicians and allied health professionals</li><li>
Completion, submission and tracking of credentialing applications with all managed care organizations and hospitals.
</li><li>Apply and validate hospital privileges</li><li>
Obtain malpractice insurance policy</li><li>
Notification to staff of completion of credentialing for scheduling and billing</li><li>
Maintain and update CAQH online credentialing application for all providers quarterly.
</li><li>Database management/provider files</li><li>
Maintain vital provider credentialing information via technology tool and hard copies of documents in provider files stored on OneOncology platform.
</li><li>Tracking and maintaining all clinical licenses for nursing, pharmacy, and lab personnel</li><li>
Provider continuing education</li><li>
Track continuing education credits for all providers</li><li>
Notify providers of any deficiencies</li><li>
Submit documentation if providers are audited</li><li>
Termination of physician and/or allied health professional</li><li>
Contact all MCO/hospitals/EMR to remove provider who has left practice, within 30 days of termination.
</li></ul>Key Competencies<ul><li>
Proficient with MS Office Suite (word, excel) and web-based applications</li><li>
Ability to maintain verbal and written communications in a confidential manner</li><li>
Detail oriented with strong organizational skills</li><li>
Excellent interpersonal skills &ndash; team player who can prioritize multiple responsibilities, manage a large workload within tight deadlines &ndash; works well under pressure and consistently meets deadlines, readily adapts to change, and excels in a productivity-based environment</li><li>
Excellent verbal and written communication skills</li><li>
Demonstrates research and problem-solving skills</li></ul>
Qualifications<ul><li>
High school diploma and 2+ years of related experience.
</li><li>Bachelor&rsquo;s degree preferred.
</li><li>Training experience preferred but not required</li><li>
Industry experience leading credentialing activities in large provider practice (or multiple practices) is required</li><li>
Certifications preferred but not required</li><li>
Working remote with Travel flexibility as needed.</li></ul><h3 class="jobSectionHeader">
#LI-REMOTE</h3></div>

Credentialing Specialist

CureMD

<div>Job Overview:
CureMD is looking for Associate Credentialing Executive to join our Credentialing team. This role is ideal for someone who is detail-oriented, organized, and interested in building a career in healthcare operations, provider enrolment, and payer credentialing. The Associate Credentialing Executive will support the credentialing and enrollment process for healthcare providers by preparing applications, maintaining provider data, coordinating with payers, tracking application statuses, and ensuring timely follow-ups. The role requires strong communication skills, accuracy, ownership, and the ability to work in a deadline-driven environment.
Job Responsibilities:<ul><li>
Assist in preparing, submitting, and tracking provider credentialing, re-credentialing, and payer enrollment applications for individual providers, groups, practice locations, and Tax IDs.</li><li>
Compile, verify, and maintain provider credentials and supporting documentation, including licenses, certifications, NPIs, DEA registrations, malpractice coverage, education, work history, and practice information.</li><li>
Maintain accurate provider data across credentialing systems, payer portals, CAQH profiles, and internal tracking tools, ensuring information remains current and compliant.</li><li>
Monitor application progress through the credentialing and enrollment lifecycle, including submission, status follow-up, approval, provider ID issuance, and effective date confirmation.</li><li>
Coordinate with payers, providers, and internal stakeholders to obtain required information, resolve enrollment-related issues, and facilitate timely application processing.</li><li>
Track document expiration dates, credential renewals, and CAQH attestations to ensure continuous provider compliance and participation.</li><li>
Maintain accurate records of enrollment statuses, payer IDs, approvals, effective dates, and related credentialing activities.</li><li>
Escalate complex issues, payer delays, application rejections, missing documentation, or closed panel situations to senior team members or management for resolution.</li><li>
Support operational readiness by coordinating with internal teams to ensure providers are prepared for billing and service delivery following enrollment approval.</li><li>
Adhere to departmental procedures, quality standards, compliance requirements, and established service level expectations while performing credentialing and enrollment activities.</li></ul> 
Qualifications:<ul><li>
Bachelor&rsquo;s degree or above.</li><li>
Basic understanding of healthcare, provider enrollment, credentialing, or medical billing.</li><li>
Good written and verbal communication skills.</li><li>
Strong attention to detail and ability to manage multiple tasks.</li><li>
Proficiency in Microsoft Word, Excel, Outlook, and general computer applications.</li><li>
Ability to work in US timings.</li></ul> 
Compensation &amp; Benefits: 
Financial:<ul><li>
Competitive salary and bi-annual bonus.</li><li>
Fast track and uncapped career growth for high performers.</li><li>
Company-sponsored vehicle financing (car and bike).</li><li>
Interest-free loans.</li><li>
Provident Fund: CureMD matches up to 8% of your base salary.</li></ul> 
Health and Wellness:<ul><li>
In-house clinic with a team of certified male and female doctors with 24/7 telemedicine service.</li><li>
Hospital treatment monitoring by company doctors.</li><li>
Comprehensive health coverage for your immediate family (outpatient, inpatient, maternity and parents' inpatient).</li><li>
Exclusive health benefits and discounts at top class clinics and labs.</li></ul> 
Supportive Workplace:<ul><li>
Pick-up and drop-off services for female employees.</li><li>
In-house daycare facility.</li><li>
In-house gym and recreational area to unwind.</li></ul> 
Continued Learning:<ul><li>
Company-sponsored trainings, workshops, development programs and retreats.</li><li>
Paid specialized trainings/certifications.</li></ul> 
The Difference You&rsquo;ll Make: 
At CureMD, every role, whether senior or junior, plays a pivotal part in transforming healthcare. By joining our innovative team, you&rsquo;ll contribute to groundbreaking technology that directly impacts patient care, enhances healthcare efficiency, and saves lives globally. Your skills and passion will drive meaningful change, helping us deliver solutions that support healthcare professionals in critical, real-time settings. Together, we&rsquo;re not just advancing technology &mdash; we&rsquo;re making a tangible difference in people&rsquo;s lives. Together, let&rsquo;s save lives.</div>

Associate Credentialing Executive

Positive Behavior Supports

<div></div><div>Entry Level Behavior Assistant and Experienced Registered Behavior Technicians (RBT) Roles!

 ***Part-time positions available with the opportunity to grow into full-time as caseloads expand*** 
Why Join PBS?

PBS offers mentoring and advancement opportunities for those with career aspirations working with special needs children! As a Behavior Assistant (BA), you can enroll in our complimentary training to become a Registered Behavior Technician (RBT), as well as Student Analysts (SA) roles if a career as a Board Certified Behavior Analyst (BCBA) is in your future!!! Founded in 2007, PBS is a dedicated ABA provider committed to helping children with autism thrive in their homes, schools and community. We value our entry level team members through a supportive, flexible, and growth-focused work environment. PBS believes in training the future of our field to ensure we are providing the best quality services to families in need!

 *All roles are subject to local and state requirements related to licensure, credentialing and certification* 


The PBS Mission: 
<ul><li>Create a responsive system that applies the principles of PBS to meet the needs of individuals, families and organizations we serve to produce quality of life changes that last
</li>Develop an organization that attracts the most competent, enthusiastic people and turns them into proficient professionals 
<li>
</li></ul><div></div>What We Offer:<div> 
</div>✅ Flexible Scheduling &ndash; Work-life balance is a priority<div> 
</div>✅ Competitive Pay - Annual Raises<div> 
</div>✅ Quarterly Bonus &ndash; $500 (for those averaging 25 hours a week for the entire quarter)<div> 
</div>✅ Holiday Pay- Time and a half for working on identified PBS holidays<div> 
</div>✅ Career Growth Pathways &ndash; Advance from Behavior Assistant to an RBT!<div> 
</div>✅ Complimentary 40 Hour RBT Training<div> 
</div>✅ Paid Travel &amp; Mileage Reimbursement (if applicable)<div> 
</div>✅ Medical, Dental, Vision Insurance (30+ hours per week)<div> 
</div>✅ Paid Sick Time- Based on state requirements<div> 
</div>✅ Retirement- 401(k) with Company Match Up to 3%<div> 
</div>Job Responsibilities:<div> 
</div>✅ Work 1:1 with children with autism using ABA strategies under the supervision of a BCBA<div> 
</div>✅ Implement individualized treatment plans designed and trained by a BCBA<div> 
</div>✅ Collect &amp; record data to track client progress using PBS tracking tools<div> 
</div>✅ Communicate with families &amp; clinical teams to ensure client success<div> 
</div>✅ Attend scheduled supervisions, team meetings &amp; ongoing training<div> 
</div>Requirements:<div> 
</div>✅ High school diploma (Bachelor&rsquo;s in Psychology, Education, or related field a plus)<div> 
</div>✅ Reliable transportation &amp; willingness to travel locally (if required)<div> 
</div>✅ Ability to actively engage clients during sessions, go from sitting to standing unassisted and lift 50lbs<div> 
</div>✅ Experience in ABA therapy, childcare, education, or related field a plus!<div> 
</div>✅ Ability to actively engage with clients, sit on the floor, go from sitting to standing unassisted and lift up to 50lbs<div> 
</div>Ready to Make a Difference? Apply Today!</div>

Behavior Assistant with Team PBS in Tennessee

Behavior Assistant with Team PBS

Search 1270+ Credentialing analyst jobs near you this July. New roles added regularly across leading industries. Apply today.

1270 credentialing analyst jobs Near Me

Credentialing Specialist

Associate Credentialing Executive

Behavior Assistant with Team PBS in Tennessee

Behavior Assistant with Team PBS

Behavior Assistant with Team PBS

Behavior Assistant with Team PBS

Behavior Assistant with Team PBS