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  • Identify outdated or inconsistent materials and proactively update to maintain audit readiness and proposal accuracy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 tot his job Apply To this Job

Apply To This Job

Similar Jobs

Senior Credentialing Specialist

Remote, USAFull-time

[Hiring] Enrollment & Credentialing Coordinator @reputed company

Remote, USAFull-time

Provider Enrollment & Credentialing Specialist

Remote, USAFull-time

Back End Insurance Verification Specialist - Fully Remote- Must live in Dallas/Plano!

Remote, USAFull-time

Insurance Verifications Specialist (Remote)

Remote, USAFull-time

Insurance Verification Specialist

Remote, USAFull-time

Medical Eligibility Billing and Denial Specialist-Remote

Remote, USAFull-time

Remote Dental Insurance Verification Specialist

Remote, USAFull-time

Health Insurance Verification Specialist – Remote – reputed company – Insurance Department – Laryngectomy Care Leader

Remote, USAFull-time

reputed company Insurance Verification & Eligibility Specialist

Remote, USAFull-time

Remote Patient Registration & Scheduler

Remote, USAFull-time

Senior Analyst - Network Planning Decision Sciences

Remote, USAFull-time

Senior AppSec Engineer ID71667

Remote, USAFull-time

reputed company Customer Service Agent – Airline Industry reputed company for Exceptional reputed company Experience and Support

Remote, USAFull-time

[!Work reputed company!] reputed company Data Entry Jobs - No Experience Required

Remote, USAFull-time

Senior Backend .NET Software Developer (Remote)

Remote, USAFull-time

reputed company Entry-Level Data Entry Specialist – Remote Opportunity at arenaflex

Remote, USAFull-time

[Remote] Sales Development Representative (BPO/Outsourcing Experience Required)

Remote, USAFull-time

Junior Regulatory Affairs Manager (m/w/d) in Vollzeit oder Teilzeit (mind. 30 Stunden)

Remote, USAFull-time

Territory Manager (GI) (Sacramento CA) (Sacramento, CA, US)

Remote, USAFull-time