CVS Health

Credentialing Specialist

TX - Dallas · Full-time

Sponsorship not specified$17k-$28kDetected 9 hours ago

LogisticsCommunicationCollaborationOrganizational SkillsMicrosoft Office

About the role

This role ensures alignment with state laws, regulatory standards, and organizational policies while supporting timely onboarding, renewals, and effective communication between all stakeholders.

Develop and implement strategies for tracking clinician eligibility, ensuring that all necessary documentation is submitted, verified, and up-to-date.
Lead internal QA initiatives and provide feedback on audit results to improve processes and prevent errors.
Maintain knowledge of state and federal regulations, accreditation standards, and client requirements to ensure full compliance across all credentialing activities.
Ability to manage multiple deadlines and work independently in a fast-paced environment.

Proficiency in systems such as MD-Staff, Google Suite, PowerBi, and Microsoft Office Suite.

Experience with multi-state collaboration coordination.
Understanding of payer compliance and credentialing timelines.
Prior experience supporting provider relations or legal documentation workflows.
Our people fuel our future.
Our employees are self-disciplined, hard working, curious, trustworthy, humble, and truthful.

$17.00 - $28.46 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls.
The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.
This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
Great benefits for great people We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience.
At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do.
Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time.
Communicates clearly with providers, internal/external clients, and all Signify Health staff as needed to provide timely responses upon request on day-to-day credentialing issues as they arise.
Required Qualifications 2+ years of experience in healthcare operations, credentialing, or provider coordination, preferably with knowledge of collaborative practice requirements.
Familiarity with regulatory standards (state medical boards, CMS) related to NP/PA collaboration.
Great benefits for great people We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.
Additional details about available benefits are provided during the
application process and on Benefits Moments.

our culture, our core values, our company meetings, our commitment to sustainability, our recognition programs, but most importantly, it's our people.
They make choices according to what is best for the team, they live for opportunities to collaborate and make a difference, and they make us the #1 Top Workplace in the area.
Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

This listing is sourced directly from CVS Health's careers page and normalized into a canonical job model.