Remote Credentialing & Payor Enrollment Analyst

ArchWell Health; Nashville (TN); Remote; USD 65,000 - 90,000; Full time

Job summary

ArchWell Health is seeking a Provider Credentialing Analyst to own end-to-end credentialing for our growing medical group. This remote role will coordinate with payors, external credentialing services, and ArchWell Health staff to ensure accurate and timely credentialing.

The analyst will manage data accuracy, monitor expirations, and support payor contracting operations while maintaining CAQH applications and primary source verifications for providers and facilities.

Qualifications

• Must understand Medicare, Medicaid, and managed care plan credentialing requirements and must be familiar with CAQH (Council for Affordable Quality Healthcare).
• Bachelor’s degree preferred; at least three years of credentialing and enrollment experience.
• Proficient PC skills and ability to manage data and documentation accurately.
• Ability to communicate professionally with providers, payors, and staff; strong organizational skills.

Responsibilities

• Build the credentialing workplan and processes for providers and facilities as dictated by payors and plans.
• Complete all credentialing and enrollment workflows, including data collection and primary source verification.
• Monitor end-to-end submission processes for assigned payor contracts and track credentialing status.
• Own payor reporting, data reporting, and monthly exclusion checks.
• Oversee renewals for licenses and credentials and liaise with payors and external services.

Skills

CAQH familiarity

Medicare/Medicaid credentialing

Data verification

Organization skills

Communication skills

Attention to detail

CredentialStream

Education

Bachelor’s degree preferred

Tools

CredentialStream

CAQH tools

Job description

ArchWell Health is seeking a Provider Credentialing Analyst to own end-to-end credentialing for our growing medical group. This remote role will coordinate with payors, external credentialing services, and ArchWell Health staff to ensure accurate and timely credentialing.

The analyst will manage data accuracy, monitor expirations, and support payor contracting operations while maintaining CAQH applications and primary source verifications for providers and facilities.