Credentialing Coordinator

NTT DATA North America; Rhode Island; Remote; USD 34,000 - 45,000; Full time

Job summary

NTT DATA North America seeks a Credentialing Coordinator for a long-term remote contract. The role includes processing credentialing applications for healthcare providers, ensuring compliance with regulatory standards, and managing provider licensing. Successful candidates will have strong analytical and communication skills, along with a minimum of 3 years of healthcare experience. This position promises a collaborative work environment with opportunities for process improvement and team engagement.

Qualifications

• 3 years experience in the healthcare industry, preferably in credentialing.
• Understanding of compliance monitoring and verification methods.
• Ability to multitask while maintaining organization.

Responsibilities

• Process initial and re-credentialing applications for providers accurately.
• Monitor compliance and manage licensing expirations.
• Support payer audits and maintain detailed provider records.

Skills

Critical Thinking

Quantitative Analysis

Effective Communication

Strong Interpersonal Skills

Organizational Skills

Education

Verifiable High School Diploma

Associate or Bachelor in Business

Tools

Microsoft Office

Outlook

Excel

Job description

2 days ago Be among the first 25 applicants

Shift: M-F 8:00-4:30 pm

Employment Type: Long Term Contract /Not a Direct Hire

The Credentialing Coordinator is responsible for initial credentialing and re-credentialing nurse practitioners, physician assistants and physicians in a compliant and timely manner; monitor expired credentials and compliance monitoring in accordance with Joint Commission accreditation, NCQA and URAC credentialing standards as required.

• Responsible for the timely and accurate processing of all providers including NP’s/PA’s/MD’s initial and Re-credentialing applications according to the Minute Clinic Provider Credentialing Program
• Monitor Expired licensure reporting , data base tasks and maintain system updates and weekly reporting to leadership
• Manage Epic access for any providers that have out of compliance licensure and/or board certification.
• Conduct sanctions and compliance monitoring and alert Credentialing Manager and Revenue Director of any undisclosed negative findings
• Process malpractice insurance verification requests according to internal policies
• Maintain the provider and physician SharePoint sites and Communicate provider status’s with leadership and other internal teams to meet timelines
• Submit system access requests upon credentialing approvals/clinic eligibility
• Support the payer enrollment team as needed to resolve any payer claim issues
• Monitor Provider and Clinic change/Termination reports and update data base accordingly
• Process Name changes according to Minute Clinic policies and procedures
• Daily maintenance of provider credentialing grids with notification to appropriate teams
• Review and distribute all incoming mail as needed
• Support Payer Audits in accordance with Minute Clinic, Joint Commission and NCQA requirements
• Maintain provider files with the most current information/documentation
• Notify system analyst and leadership of any system and state agencies interruptions/updates/password changes
• Make recommendations for process improvement and system efficiencies
• Attend and engage in all team meetings
• Model a positive attitude in interactions with team members
  
  

Location: Remote

Pay Rate: $16.37 per hour

Start Date: 7/14/2025

Shift: M-F 8:00-4:30 pm

Employment Type: Long Term Contract /Not a Direct Hire

The Credentialing Coordinator is responsible for initial credentialing and re-credentialing nurse practitioners, physician assistants and physicians in a compliant and timely manner; monitor expired credentials and compliance monitoring in accordance with Joint Commission accreditation, NCQA and URAC credentialing standards as required.

• Responsible for the timely and accurate processing of all providers including NP’s/PA’s/MD’s initial and Re-credentialing applications according to the Minute Clinic Provider Credentialing Program
• Monitor Expired licensure reporting , data base tasks and maintain system updates and weekly reporting to leadership
• Manage Epic access for any providers that have out of compliance licensure and/or board certification.
• Conduct sanctions and compliance monitoring and alert Credentialing Manager and Revenue Director of any undisclosed negative findings
• Process malpractice insurance verification requests according to internal policies
• Maintain the provider and physician SharePoint sites and Communicate provider status’s with leadership and other internal teams to meet timelines
• Submit system access requests upon credentialing approvals/clinic eligibility
• Support the payer enrollment team as needed to resolve any payer claim issues
• Monitor Provider and Clinic change/Termination reports and update data base accordingly
• Process Name changes according to Minute Clinic policies and procedures
• Daily maintenance of provider credentialing grids with notification to appropriate teams
• Review and distribute all incoming mail as needed
• Support Payer Audits in accordance with Minute Clinic, Joint Commission and NCQA requirements
• Maintain provider files with the most current information/documentation
• Notify system analyst and leadership of any system and state agencies interruptions/updates/password changes
• Make recommendations for process improvement and system efficiencies
• Attend and engage in all team meetings
• Model a positive attitude in interactions with team members
  
  

Required Qualifications

• Demonstrated understanding of initial credentialing and re-credentialing practices for medical professionals including primary source verification methods, compliance monitoring and expirable management.
• Proficient in quantitative analysis
• Understanding of Joint Commission Accreditation, NCQA and URAC credentialing standards.
• Ability to function independently and utilize critical thinking skills to accomplish goals and objectives
• Effective communication skills; verbal and written
• Strong interpersonal skills including the ability to work well with internal and external stakeholders
• Strong organizational skills and the ability to multitask
• Competent user of Microsoft Office, Outlook, Word, and Excel
• A minimum of 3 years experience in the healthcare industry with experience in credentialing
  
  

Preferred Qualifications

• NAMSS Certified Professional Credentialing Specialist (CPCS) certification
  
  

Education - Verifiable High School Diploma is required.

Associates or Bachelor in business preferred.

Where required by law, NTT DATA provides a reasonable range of compensation for specific roles. The starting hourly rate for this remote role is $16.37. This reflects the target compensation for the position across all US locations. This position may also be eligible for incentive compensation based on individual and/or company performance.

NTT DATA is a recognized leader in IT and business services, including cloud, data and applications, headquartered in Texas. As part of NTT DATA, a $30 billion trusted global innovator with a combined global reach of over 80 countries, we help clients transform through business and technology consulting, industry and digital solutions, applications development and management, managed edge-to-cloud infrastructure services, BPO, systems integration and global data centers. We are committed to our clients' long-term success. Visit nttdata.com or LinkedIn to learn more.

NTT DATA is an equal opportunity employer and considers all applicants without regarding to race, color, religion, citizenship, national origin, ancestry, age, sex, sexual orientation, gender identity, genetic information, physical or mental disability, veteran or marital status, or any other characteristic protected by law. We are committed to creating a diverse and inclusive environment for all employees. If you need assistance or an accommodation due to a disability, please inform your recruiter so that we may connect you with the appropriate team.

#INDHRS

Seniority level

• Seniority level

  Not Applicable

Employment type

• Employment type

  Full-time

Job function

• Job function

  Health Care Provider

• Industries

  IT Services and IT Consulting

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