Provider Credentialing & Contract Specialist

Wishalicious; Pompano Beach (FL); On-site; USD 25,000 - 34,000; Full time

Job summary

Wishalicious is seeking a dynamic Provider Credentialing/Contract Specialist to oversee credentialing and contracting for healthcare providers, ensuring compliance with CMS, NCQA standards, and JCAHO accreditation requirements. You will manage provider databases, onboarding, and documentation, coordinate contract negotiations and renewals, and support regulatory audits to uphold high-quality patient care.

Join a mission-driven team dedicated to excellence in provider management and patient

Qualifications

• Experience in managed care settings and familiarity with CMS guidelines, NCQA standards, and JCAHO accreditation.
• Medical office experience or background in healthcare environments preferred.
• Strong communication and collaboration across departments.

Responsibilities

• Oversee credentialing and contracting processes for providers.
• Verify licensure, certifications, and clinical qualifications.
• Maintain provider databases and ensure regulatory compliance.
• Process network applications, including contract negotiations and renewals.
• Support audits and regulatory documentation.

Skills

Healthcare credentialing

CMS guidelines knowledge

Regulatory compliance

Communication skills

Tools

Healthcare software

Contract management systems

Job description

Wishalicious is seeking a dynamic Provider Credentialing/Contract Specialist to oversee credentialing and contracting for healthcare providers, ensuring compliance with CMS, NCQA standards, and JCAHO accreditation requirements. You will manage provider databases, onboarding, and documentation, coordinate contract negotiations and renewals, and support regulatory audits to uphold high-quality patient care.

Join a mission-driven team dedicated to excellence in provider management and patient