Delegated Credentialing Lead – Compliance & Audits

Tava Health; United States; Remote; USD 90,000 - 130,000; Full time

Job summary

Tava Health is seeking a credentialing professional to own the daily delegated credentialing operations and collaborate with internal teams and delegated entities to ensure ongoing compliance. The role includes leading committee activities and maintaining audit-ready records for practitioners and groups.

Ideal candidates bring CPCS certification, CAQH/NPDB/PECOS familiarity, and strong attention to detail, organization, and communication skills.

Qualifications

• 2–5 years of credentialing experience with at least 2 years in delegated credentialing.
• CPCS certification and familiarity with CAQH, NPDB, and PECOS.
• Strong attention to detail, organization, and communication skills.

Responsibilities

• Own the day-to-day execution of Tava Health's delegated credentialing program.
• Partner with internal teams and delegated entities to maintain compliance.
• Oversee payer delegation activities, including readiness reviews and annual audits.
• Lead Credentialing Committee meetings and maintain audit-ready records.
• Support credentialing for Nurse Practitioners and group practices.

Skills

Attention to detail

Organization

Communication skills

Education

CPCS certification

Tools

CAQH

NPDB

PECOS

Job description

Tava Health is seeking a credentialing professional to own the daily delegated credentialing operations and collaborate with internal teams and delegated entities to ensure ongoing compliance. The role includes leading committee activities and maintaining audit-ready records for practitioners and groups.

Ideal candidates bring CPCS certification, CAQH/NPDB/PECOS familiarity, and strong attention to detail, organization, and communication skills.