Provider Relations & Credentialing Specialist

HCSC Group; Baltimore (MD); On-site; USD 48,000 - 86,000; Full time

Job summary

CareAllies in Baltimore, MD is seeking a provider data professional responsible for contracting, credentialing, and maintaining Professional Provider Data to support Marketing, Membership and Network Contracting.

The role emphasizes building relationships with the Provider community, data integrity, and participation in internal provider meetings; strong analytical, communication, and independent-initiative skills are required.

Qualifications

• Bachelor degree or 4 years of healthcare industry experience.
• 2 years of provider network contracting and credentialing systems experience.
• Written and verbal communication skills to interact with internal and external customers.
• Analytical and quantitative skills.
• Ability to take initiative and work independently.

Responsibilities

• Contracting, credentialing, and maintenance of Professional Provider Data across Marketing, Membership and Network Contracting.
• Build relations with the Provider community to support data integrity.
• Lead operational and customer support duties requiring independent initiative.
• Participate in internal provider meetings and work groups; research credentialing data and network participation issues.

Skills

Education background

Provider network contracting

Communication skills

Analytical skills

Independent initiative

Education

Bachelor degree

Healthcare industry experience (4 years)

Tools

Microsoft Office (Excel, Access, PowerPoint)

Job description

CareAllies in Baltimore, MD is seeking a provider data professional responsible for contracting, credentialing, and maintaining Professional Provider Data to support Marketing, Membership and Network Contracting.

The role emphasizes building relationships with the Provider community, data integrity, and participation in internal provider meetings; strong analytical, communication, and independent-initiative skills are required.