Credentialing Specialist

Randstad USA; United States; Remote; Full time

Job summary

Randstad USA is seeking Credentialing Specialists for a fully remote role. You will ensure healthcare providers meet compliance and regulatory requirements, manage credentialing processes, and support a growing healthcare network. The position offers remote flexibility and career growth potential.

Benefits

Medical insurance

Vision insurance

401(k)

Disability insurance

Qualifications

• 3+ years of experience in healthcare credentialing, insurance, or provider network operations.

Responsibilities

• Collect, review, and process credentialing applications from healthcare providers.
• Ensure compliance with NCQA standards and regulatory requirements.
• Maintain accurate provider data in tracking systems.

Skills

NCQA guidelines

Microsoft Office

Education

Associate’s degree

Job description

This range is provided by Randstad USA. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

Base pay range

$22.00/hr - $30.00/hr

Direct message the job poster from Randstad USA

Are you an experienced credentialing professional looking for a fully remote opportunity? We are seeking Credentialing Specialists to join our team, ensuring healthcare providers meet compliance and regulatory requirements. In this high-impact role, you’ll be responsible for credentialing and re-credentialing processes, provider data management, and quality assurance to support the success of a growing healthcare network.

What You’ll Do:

• Collect, review, and process initial and re-credentialing applications from healthcare providers.
• Ensure compliance with NCQA standards, accrediting agencies, and regulatory requirements.
• Maintain accurate provider data in tracking systems, ensuring timely updates.
• Support credentialing audits and quality assurance initiatives.
• Facilitate communication with providers, representatives, and leadership on credentialing status.

What We’re Looking For:

• Associate’s degree or 3+ years of experience in healthcare credentialing, insurance, or provider network operations.
• Knowledge of NCQA guidelines and health plan credentialing processes.
• Proficiency in Microsoft Office (Word, Excel, PowerPoint, Outlook).

Why Join Us?

• Remote flexibility – Work from home (excluding NY & CA).
• Career growth potential – Temp-to-perm opportunity with a reputable healthcare organization.
• Collaborative team environment – Work alongside industry professionals committed to excellence.
• Make a real impact – Play a crucial role in ensuring provider compliance and patient safety.

If you’re ready to bring your credentialing expertise to a dynamic and growing team, apply today!

Seniority level

• Seniority level

  Associate

Employment type

• Employment type

  Contract

Job function

• Job function

  Health Care Provider and Accounting/Auditing

• Industries

  Hospitals and Health Care, Public Health, and Consumer Services

Referrals increase your chances of interviewing at Randstad USA by 2x

Inferred from the description for this job

Medical insurance

Vision insurance

401(k)

Disability insurance

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