Provider Licensing & Credentialing Specialist

Main Street Health; United States; Remote; USD 65,000 - 90,000; Full time

Job summary

Main Street Health is seeking a Licensing and Credentialing Specialist to ensure providers are qualified, licensed and set up for success with our rural-focused partnerships. The role supports regulatory alignment, payer readiness and smooth onboarding by maintaining accurate records and proactive license tracking.

As a fast-paced, service-oriented team player, you will verify education and credentials, manage deadlines, coordinate with providers and internal teams, and mentor others to uphold a

Qualifications

• Active CPCS Certification, preferred
• 3+ years in healthcare licensing and credentialing
• Track record of exceeding expectations
• Comfortable making decisions, managing priorities and leading by example
• Ability to manage multiple priorities in a fast-paced environment
• Strong organizational and communication skills
• Ability to work independently while maintain accuracy and attention to detail

Responsibilities

• Verify healthcare providers’ education, licenses, certifications, training, work history, professional references to ensure patients receive care from qualified professionals
• Maintain accurate and up-to-date provider records to meet the standards of accrediting bodies, government agencies and insurance companies
• Ensure providers hold valid, active licenses in states they practice
• Maintain organized records to protect against legal, financial and reputational risks
• Track expiration dates for licenses, certifications, DEA registrations, malpractice insurance and other required documents to ensure providers remain eligible to practice
• Maintain a streamlined credentialing process to enable new providers, nurses and health professionals to minimize the staffing gap and improve access to care for patients
• Working closely with partners to take ownership of challenges and goes above and beyond to deliver thoughtful, timely and personalized service
• Coach, mentor or guide team members with a commitment to developing others and leading by example

Skills

CPCS Certification

Licensing & Credentialing

Communication skills

Organizational skills

Prioritization

Independent work

Job description

Main Street Health is seeking a Licensing and Credentialing Specialist to ensure providers are qualified, licensed and set up for success with our rural-focused partnerships. The role supports regulatory alignment, payer readiness and smooth onboarding by maintaining accurate records and proactive license tracking.

As a fast-paced, service-oriented team player, you will verify education and credentials, manage deadlines, coordinate with providers and internal teams, and mentor others to uphold a