Job Description
Job Description
An employer is looking for a remote Credentialing & Medicaid Specialist to manage provider credentialing and Medicaid enrollments, ensuring active participation across payer networks. This role owns enrollment lifecycle activities, maintains credentialing documentation, and partners cross-functionally to support payer compliance and resolve enrollment-related issues.
Medicaid Enrollment & Maintenance Responsibilities:
- Manage end-to-end Medicaid enrollments, revalidations, and provider updates across multiple states
- Prepare and submit applications to Medicaid agencies, PBMs, and health plans
- Maintain accurate provider records, payer portals, and internal tracking systems
- Monitor payer communications and ensure compliance with evolving requirements
Credentialing & Compliance Responsibilities:
- Maintain credentialing files (licenses, accreditations, W-9s, insurance, ownership docs)
- Track expirations and renewal timelines to...
An employer is looking for a remote Credentialing & Medicaid Specialist to manage provider credentialing and Medicaid enrollments, ensuring active participation across payer networks. This role owns enrollment lifecycle activities, maintains credentialing documentation, and partners cross-functionally to support payer compliance and resolve enrollment-related issues.
Medicaid Enrollment & Maintenance Responsibilities:
- Manage end-to-end Medicaid enrollments, revalidations, and provider updates across multiple states
- Prepare and submit applications to Medicaid agencies, PBMs, and health plans
- Maintain accurate provider records, payer portals, and internal tracking systems
- Monitor payer communications and ensure compliance with evolving requirements
Credentialing & Compliance Responsibilities:
- Maintain credentialing files (licenses, accreditations, W-9s, insurance, ownership docs)
- Track expirations and renewal timelines to...