Onboarding and Credentialing Specialist

Mai Placement; New York (NY); On-site; USD 100,000 - 130,000; Full time

Job summary

Mai Placement in Brooklyn, NY is seeking an Onboarding & Credentialing Specialist to oversee onboarding, credentialing, recredentialing and payer enrollment for physicians and APCs. The role ensures providers are credentialed, compliant, and ready to see patients without delays.

The ideal candidate has hands-on provider credentialing experience, working knowledge of Medicare, Medicaid, and commercial payer enrollment, and prior experience in a multi-provider healthcare organization.

Qualifications

• 3+ years of provider credentialing and onboarding experience.
• Experience credentialing physicians, nurse practitioners, physician assistants, or other licensed providers.
• Strong knowledge of Medicare, Medicaid, CAQH, NPPES, PECOS, and commercial payer enrollment.
• Experience in a multi-provider healthcare organization.
• Strong attention to detail and organizational skills.
• Ability to manage multiple credentialing files simultaneously.

Responsibilities

• Coordinate onboarding for newly hired providers from offer acceptance through start date.
• Ensure all required documentation, licenses, certifications, and compliance requirements are completed.
• Manage initial credentialing, recredentialing, and payer enrollment.
• Maintain CAQH profiles and credentialing databases.
• Track licenses, DEA registrations, board certifications, malpractice coverage, and credential expirations.
• Work closely with HR, providers, operations, finance, and leadership throughout onboarding.
• Maintain accurate credentialing records and prepare documentation for audits.
• Identify opportunities to improve onboarding and credentialing workflows.

Skills

Provider credentialing

Payer enrollment

CAQH/PECOS/NPPES

Multi-site experience

Detail-oriented

Project management

Tools

Credentialing software

MS Office

Job description

Onboarding & Credentialing Specialist

Brooklyn, NY (On-Site)

$100,000 – $130,000

Position Overview

A large, multi-site healthcare organization is seeking an experienced Onboarding & Credentialing Specialist to oversee the onboarding, credentialing, recredentialing, and payer enrollment process for physicians and advanced practice providers. This role is critical to ensuring providers are fully credentialed, compliant, and able to begin seeing patients without delays. The ideal candidate will have hands‑on provider credentialing experience, strong knowledge of Medicare, Medicaid, and commercial payer enrollment, and experience working in a multi‑provider healthcare organization.

Requirements

• 3+ years of provider credentialing and onboarding experience
• Experience credentialing physicians, nurse practitioners, physician assistants, or other licensed providers
• Strong knowledge of Medicare, Medicaid, CAQH, NPPES, PECOS, and commercial payer enrollment
• Experience managing initial credentialing, recredentialing, and privileging processesFamiliarity with New York provider licensing and regulatory requirements
• Strong organizational and follow‑up skills
• Ability to manage multiple providers and deadlines simultaneously
• Proficiency with Microsoft Office and credentialing software or provider databases
• Experience in a multi‑site healthcare organization, medical group, or outpatient healthcare setting preferred

Responsibilities

• Coordinate onboarding for newly hired providers from offer acceptance through start date
• Ensure all required documentation, licenses, certifications, and compliance requirements are completed
• Manage initial credentialing, recredentialing, and payer enrollment
• Maintain CAQH profiles and credentialing databases
• Track licenses, DEA registrations, board certifications, malpractice coverage, and credential expirations
• Work closely with HR, providers, operations, finance, and leadership throughout onboarding
• Maintain accurate credentialing records and prepare documentation for audits
• Identify opportunities to improve onboarding and credentialing workflows

Must‑Haves

• Provider credentialing experience
• Medicare, Medicaid, and commercial payer enrollment experience
• CAQH, PECOS, and NPPES experience
• Experience in a multi‑provider healthcare organization
• Strong attention to detail and organizational skills
• Ability to manage multiple credentialing files simultaneously