Credentialing & Payer Network Architect

Oasis Care Clinic; Tampa (FL); On-site; USD 55,000 - 85,000; Full time

Job summary

Oasis Care Clinic seeks a Credentialing, Provider Enrollment & Payer Contracting Specialist to oversee the full credentialing and payer enrollment lifecycle for our growing mobile healthcare practice in the Tampa Bay area.

You will credential and enroll providers, link them to the Oasis group, pursue payer contracts, monitor applications, and ensure providers are loaded to submit claims. Ideal candidate understands credentialing vs enrollment vs contracting and can manage deadlines effectively.

Qualifications

• Direct experience with healthcare credentialing or payer contracting.
• Experience onboarding physicians, NPs, PAs, or other providers.
• Working knowledge of CAQH/DataSpring, PECOS, NPPES, Medicare, Medicaid, and commercial enrollment.
• Ability to manage multiple applications and deadlines.
• Strong organizational, documentation, and communication skills.

Responsibilities

• Develop and maintain credentialing and onboarding processes for new providers.
• Verify licenses, education, certifications, liability coverage, NPIs, DEA, and other credentials.
• Submit complete provider applications across CAQH, NPPES, PECOS, and payer portals.
• Build relationships with payer network representatives and negotiate contracts.
• Track credentialing progress and deadlines; provide weekly updates.
• Maintain centralized payer enrollment tracker and measurable outcomes.

Skills

Credentialing

Provider enrollment

Payer contracting

Organizational skills

Communication skills

Attention to detail

Independent work

Relationship building

Tools

CAQH/DataSpring

PECOS

NPPES

Medicaid portals

Commercial payer portals

Job description

Oasis Care Clinic seeks a Credentialing, Provider Enrollment & Payer Contracting Specialist to oversee the full credentialing and payer enrollment lifecycle for our growing mobile healthcare practice in the Tampa Bay area.

You will credential and enroll providers, link them to the Oasis group, pursue payer contracts, monitor applications, and ensure providers are loaded to submit claims. Ideal candidate understands credentialing vs enrollment vs contracting and can manage deadlines effectively.