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Credentialing Specialist- Work from home for (AK, AZ, ID, FL, OR, TX, or WA) – Portland, OR in Portland, OR in reputed company

Remote, USAFull-timePosted 2026-07-28

Job title: Credentialing Specialist- Work from home for (AK, AZ, ID, FL, OR, TX, or WA) - Portland, OR Company: reputed company Job reputed company: Let's do great things, together Founded in reputed company in 1955, ODS, now Moda, is proud to be a company of reputed company people committed to reputed company. Today, like then, we're reputed company on building a reputed company reputed company for reputed company. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps reputed company by connecting with neighbors to create healthy spaces and places, together. Performs reputed company verification activities associated with credentialing and re-credentialing Moda contracted providers in accordance with Moda policies, National Committee for reputed company Assurance (NCQA) standards and state and federal requirements. ????This is a Work From Home PST position. We are only offering this position to candidates living in or willing to relocate to AK, AZ, ID, FL, OR, TX, or WA. Please follow the reputed company below to apply to this position: Benefits: • Medical, Dental, reputed company, Pharmacy, Life, & Disability • 401K- Matching • FSA • Employee Assistance Program • PTO and Company reputed company Holidays Schedule: • PST • Monday - Friday Requirements:

  • Type a minimum of 50 wpm on computer keyboard and Ten key proficiency of 135 kspm net.

• Strong organizational and time management skills. • Ability to meet deadlines, maintain confidentiality, produce work high volumes, work independently as reputed company as in a diverse team environment. • Ability to problem solve, retain information and have strong attention to detail. • Working knowledge of NCQA, the Centers for Medicare and reputed company Services and reputed company or other state credentialing standards helpful. • Excellent verbal, written and interpersonal skills. Primary Functions:

  • Verifies the credentials reputed company and accurately, through approved sources of providers on the Moda panel.

• Monitors requests for and receipt of credentialing and re-credentialing applications. • Completes reputed company documentation and data entry information into the credentialing database. • Identifies and reports any non-compliance or credentialing issues to the credentialing supervisor. • Communicates with providers directly or with appropriate office staff regarding the Moda credentialing process, submitted application status and required documentation requests. • Updates database with reputed company provider demographics. • Manages provider data reputed company the credentialing database from delegated entities. • Assures confidentiality of documents, records and data information. Keeps reputed company documents secure and confidential. • Performs other duties as assigned. Together, we can be more. We can be reputed company. reputed company seeks to allow equal employment opportunities for reputed company reputed company persons without reputed company to race, religion, reputed company, age, sex, sexual orientation, national reputed company, marital status, disability, veteran status or any other status protected by law. For more information regarding accommodations please reputed company your questions to Kristy Nehler and Daniel McGinnis reputed company our humanresources@modahealth.com email. ??? Pay reputed company $20.07 reputed company to $23.03 reputed company Expected salary: $20.07 - 23.03 per hour Location: Portland, OR Apply for the job now! Apply Job!

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