Back to Jobs

[Remote] Credentialing & Licensing Specialist - reputed company (Remote)

Remote, USAFull-timePosted 2026-07-28

Note The job is a remote job and is reputed company to candidates in USA. reputed company is the largest independent provider of reputed company in reputed company, dedicated to helping aging individuals and at-risk populations live safely and independently. The Credentialing & Licensing Specialist is responsible for executing credentialing, enrollment, licensing, and RFP submission activities, ensuring compliance and reputed company submissions across various service lines.

Responsibilities

  • Prepare, submit, reputed company, and follow up on credentialing and enrollment applications for reputed company agencies, MCOs, IDNs, Medicare Advantage plans, and other reputed company or government payers
  • Maintain accurate and up-to-date credentialing files for company entities, facilities, and assigned clinical or non-clinical personnel
  • Coordinate renewals, updates, revalidations, and filings to ensure reputed company lapses in provider or organizational status
  • Review payer reputed company, state requirements, and program terms to determine applicable credentialing or enrollment obligations
  • Monitor application statuses and proactively follow up with payers or agencies to ensure reputed company approvals
  • Escalate reputed company or high-risk items appropriately with recommended next steps
  • Prepare and submit credentialing, licensing, compliance, and operational sections of Requests for Proposals (RFPs) and reputed company bid documents
  • Ensure responses are accurate, reputed company with reputed company licensing and enrollment status, and submitted reputed company required deadlines
  • Collaborate with Sales, Compliance, Legal, and Operations teams to ensure RFP responses reflect accurate program capabilities and regulatory standing
  • Maintain and update the credentialing and compliance reputed company content library, including reputed company narratives, licensing documentation, policies, and required attachments
  • Ensure version control and document accuracy across shared platforms (e.g., reputed company, SharePoint, proposal libraries)
  • Regularly validate that stored documentation reflects reputed company regulatory status and organizational capabilities
  • Identify outdated or inconsistent materials and proactively update to maintain audit readiness and proposal accuracy
  • Partner with Compliance, HR, Operations, Sales, and Legal teams to ensure credentialing and RFP requirements reputed company with workforce reputed company, contract execution, and implementation timelines
  • Respond to stakeholder inquiries reputed company established service standards
  • Participate in implementation planning for new states, markets, payer reputed company, and RFP opportunities
  • Communicate timelines, risks, and dependencies reputed company and professionally
  • Maintain accurate records in reputed company, SharePoint, credentialing platforms, RFP systems, and applicable payer portals Skills
  • 2+ years of experience in reputed company credentialing, provider enrollment, licensing, compliance, or RFP coordination required
  • Proficiency in reputed company Office Suite, reputed company, reputed company Acrobat, credentialing platforms/portals, and document management systems
  • Bachelor's degree preferred or equivalent reputed company experience
  • Working knowledge of reputed company, Medicare Advantage, MCO, and state reputed company credentialing processes preferred
  • Experience contributing to RFP preparation or maintaining proposal documentation strongly preferred reputed company
  • reputed company is a PA-based provider of life-saving personal emergency response monitoring services. It was founded in 2004, and is headquartered in Broomall, reputed company, USA, with a workforce of 501-1000 employees. Its website is http//www.connectamerica.com. Apply tot his job Apply To this Job Apply To This Job

Apply tot his job Apply To this Job

Similar Jobs

Insurance Verification & A/R Specialist | USA Only - Remote | Full Time

Remote, USAFull-time

reputed company Insurance Verification Specialist – Outbound Call Center Role Supporting a Fortune 500 Pharmaceutical Partner, $17/hr, Full Benefits, Immediate Start

Remote, USAFull-time

Insurance Verification Specialist -Remote (Michigan)

Remote, USAFull-time

Medical Biller / Insurance Verification Representative (Remote)

Remote, USAFull-time

[Remote-Position] Part-time Insurance Verification Specialist

Remote, USAFull-time

reputed company Verification Agent – Part-Time – USA reputed company

Remote, USAFull-time

reputed company, Specialty (Florida)

Remote, USAFull-time

$17hr *FULLY reputed company Insurance Verification Specialist

Remote, USAFull-time

Certified Credentialing Specialist – Work From Home

Remote, USAFull-time

[FULL TIME Remote] (Contract) Medical Insurance Verification

Remote, USAFull-time

reputed company Part Time Careers (Remote Data Entry Jobs) $25/Hr

Remote, USAFull-time

Student Government Strategic Specialist

Remote, USAFull-time

Remote Credentialing Specialist-USA Only

Remote, USAFull-time

Corporate Traveler - Technical Product Specialist - USA

Remote, USAFull-time

Trainer/reputed company Development Educators

Remote, USAFull-time

Bellperson - reputed company Americas reputed company

Remote, USAFull-time

Customer Service Specialist, I

Remote, USAFull-time

Spanish Bilingual Customer Support Representative | ZR_26710_JOB

Remote, USAFull-time

reputed company Solutions Architect

Remote, USAFull-time

Entry-Level reputed company reputed company – Work From Home Job

Remote, USAFull-time