CVS Health is hiring a Credentialing Specialist to manage and maintain the credentialing and recredentialing processes for our network of healthcare providers. In this role, you will ensure all providers meet regulatory, payer, and organizational requirements, supporting our mission of building a world of health around every consumer.
What You'll Do
- Assist in maintaining information in Credentialing databases and systems.
- Review and validate provider information against business and credentialing requirements, following company policies, state regulations, and accrediting body standards.
- Perform extensive research and analysis of sensitive provider issues, communicating data integrity issues in a timely manner.
- Work closely with providers to verify qualifications including education, training, licenses, certifications, and work history.
What We're Looking For
- 1 year of direct credentialing experience.
- 1-3 years of experience in the healthcare industry.
- A High School Diploma or equivalent.
Nice to Have
- Knowledge of credentialing systems like CAQH and EPDB.
- Proficiency with Excel.
- Strong desk management skills.
Benefits & Compensation
- Hourly pay range: $17.00 - $31.30.
- Affordable medical plan options.
- 401(k) plan with matching company contributions.
- Employee stock purchase plan.
- No-cost wellness screenings, tobacco cessation, weight management programs, confidential counseling, and financial coaching.
- Paid time off and flexible work schedules.
- Family leave and dependent care resources.
- Tuition assistance and retiree medical access.
- Colleague assistance programs.
Work Mode
This is a full-time position.
CVS Health is an equal opportunity employer. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
