Remote Credentialing Specialist | Compliance & Verification

Humana Inc; Northern (KY); Hybrid; USD 49,000 - 66,000; Full time

Benefits offered by this job

Remote work within the US

Job summary

Humana Inc. is seeking a Credentialing Professional 1 to support clinician compliance by monitoring, verifying, and maintaining licenses and certifications.

This remote role performs primary source verifications, keeps records current, and supports audits to ensure regulatory compliance. The position requires an associate degree or equivalent experience in healthcare administration or credentialing, with strong attention to detail and excellent communication skills.

Qualifications

• Associate degree or equivalent experience in healthcare administration, credentialing, compliance, or related field.
• Proficiency with Microsoft Office and business systems.
• Experience in healthcare credentialing, licensure monitoring, compliance, or audit support is preferred.

Responsibilities

• Perform primary source verifications of licenses, certifications, and other required credentials.
• Monitor clinician credentials to ensure they remain current, active, and compliant with regulatory and organizational requirements.
• Maintain accurate credential information and supporting documentation in enterprise systems.
• Research and resolve licensure issues.
• Support internal and external audits by gathering and validating documentation.
• Generate reports, track credential status, and elevate compliance risks as appropriate.
• Respond to inquiries from clinicians, leaders, and business partners regarding licensure requirements.
• Participate in process improvement initiatives to enhance efficiency, quality, and compliance outcomes.

Skills

Attention to detail

Written communication

Time management

Education

Associate degree or equivalent in healthcare admin/credentialing/compliance

Tools

Microsoft Office & business systems

Job description

Humana Inc. is seeking a Credentialing Professional 1 to support clinician compliance by monitoring, verifying, and maintaining licenses and certifications.

This remote role performs primary source verifications, keeps records current, and supports audits to ensure regulatory compliance. The position requires an associate degree or equivalent experience in healthcare administration or credentialing, with strong attention to detail and excellent communication skills.