Credentialing Strategist: Payer Audits & Compliance

Kickstart Seed Fund; United States; Remote; USD 65,000 - 95,000; Full time

Benefits offered by this job

Competitive salary and stock options

Medical and dental premiums

Mental health benefit

Monthly HSA contributions

Generous PTO and holidays

Paid parental leave

401(k) retirement plan

Weekly lunch via DoorDash and DashPass

Job summary

Tava Health is seeking a Delegated Credentialing Specialist to manage delegated credentialing across payer relationships, ensuring audit-ready records and compliance. You will partner with Enrollment, Legal/Compliance and other teams to maintain provider data and support NP and group practice credentialing.

If you have 2–5 years in credentialing, CPCS certification, and familiarity with CAQH/NPDB, you will thrive in our fast-growing, mission-driven environment and contribute to healthcare access.

Qualifications

• 2–5 years of credentialing and enrollment experience, including at least 2 years specifically focused on delegated credentialing.
• CPCS certification required.
• Ability to manage multiple payer relationships with minimal oversight.
• Strong written and verbal communication.
• Experience with CAQH, NPDB, PECOS, state licensing resources, and payer rostering tools.

Responsibilities

• Oversee delegated credentialing activities for an assigned payer portfolio, including readiness reviews, ongoing compliance monitoring, recurring reporting, and audits.
• Maintain audit-ready credentialing records with primary source verification and committee documentation.
• Prepare materials for delegated partners and payers, such as provider rosters and credentialing activity reports.
• Lead credentialing for Nurse Practitioners and group practices, including application review and verification.

Skills

Credentialing

Enrollment

Multitasking

Communication

Education

CPCS Certification

Tools

CAQH

NPDB

PECOS

Credentialing Software

Payer Rostering Tools

Job description

Tava Health is seeking a Delegated Credentialing Specialist to manage delegated credentialing across payer relationships, ensuring audit-ready records and compliance. You will partner with Enrollment, Legal/Compliance and other teams to maintain provider data and support NP and group practice credentialing.

If you have 2–5 years in credentialing, CPCS certification, and familiarity with CAQH/NPDB, you will thrive in our fast-growing, mission-driven environment and contribute to healthcare access.