Credentialing Coordinator

Aquent is proud to partner with a dynamic and innovative leader in the healthcare sector, an organization at the forefront of transforming patient experiences and optimizing care delivery. This leading healthcare organization is dedicated to enhancing the quality and efficiency of patient care through robust network operations and data integrity, building strong, compliant provider networks essential for accessible and high-quality healthcare. By focusing on operational excellence and stringent regulatory adherence, they empower healthcare professionals and ensure trust within the communities they serve.

Make a Direct Impact on Healthcare Compliance and Efficiency

Are you a meticulous and proactive professional ready to make a significant impact on healthcare delivery? We are seeking a vital contributor to join a team that directly impacts the seamless delivery of healthcare services by ensuring clinicians meet the highest standards of compliance and credentialing. In this crucial 3-month temporary assignment, your expertise will be pivotal in maintaining crucial data systems and upholding regulatory adherence, directly contributing to the organization's mission and the well-being of countless individuals. You will play an indispensable part in upholding the rigorous standards required for healthcare providers, directly influencing operational efficiency and regulatory standing, and driving critical network activation projects.

What You'll Do

• Verify clinician credentials, education, and licensure applications/renewals, ensuring strict compliance with business, state, and federal guidelines.
• Execute essential network activation projects and operations to maintain department-wide compliance and efficiency.
• Ensure unwavering adherence to regulatory and accrediting body standards, including NCQA, URAC, Medicare, Medicaid, and delegation agreements.
• Maintain accurate and comprehensive data tracking systems to foster provider data integrity across all organizational units.
• Prepare and deliver impactful education and training materials on network activation policies, procedures, and quality standards.
• Drive continuous process improvement initiatives, expertly manage stakeholder inquiries, and provide flexible administrative support across the department.

What You'll Bring

• 1 to 5 years of professional experience in a network activation, credentialing, or licensing role.
• Proven ability to independently verify provider licensure and education credentials with precision.
• Extensive hands-on experience completing and submitting complex regulatory and credentialing applications.
• Exceptional attention to detail and strong administrative and organizational skills.
• High School Diploma or equivalent.

Stand Out With These Qualifications

• NAMSS Certification as a Certified Provider Credentialing Specialist (CPCS) (or earned within 2 years of eligibility).
• Intermediate proficiency in Google Suite applications (Gmail, Google Calendar, Google Sheets, Google Slides).

Important Details for this Assignment

• Be authorized to work in the United States.
• Not require sponsorship of any kind for the duration of the assignment.
• Be able to work on a W-2 basis (C2C or 1099 is not permitted for this position).