Remote Credentialing Specialist: NCQA and Audit Ready

Transcarent; United States; Remote; USD 60,000 - 80,000; Full time

Job summary

Transcarent is seeking a Credentialing Coordinator to manage day-to-day provider credentialing and re-credentialing, ensuring NCQA-compliant, audit-ready files.

You will verify licenses, board certifications, education, and work history; review applications against requirements; and collaborate across compliance, licensing, and network operations to resolve issues.

A strong analytical mindset, attention to detail, and ability to work independently are essential.

Qualifications

• 3+ years in provider credentialing or healthcare operations
• Working knowledge of NCQA credentialing standards and primary source verification
• Familiarity with licensure requirements across multiple states
• Strong analytical, detail-oriented, and organizational skills
• Ability to work independently and as part of a team

Responsibilities

• Execute day-to-day credentialing and re-credentialing tasks
• Review provider files against NCQA standards and payer requirements
• Perform primary source verification of licensure, board certification, education, work history, and sanctions checks
• Assist with delegated credentialing audits and payer submissions
• Collaborate with credentialing, licensing, compliance, and network operations teams
• Document findings in the credentialing database and escalate non-standard issues
• Maintain policies and workflows for audits

Skills

Analytical mindset

Attention to detail

Time management

Communication skills

Education

Diploma or related field

Tools

Verifiable

Availity

CAQH

Job description

Transcarent is seeking a Credentialing Coordinator to manage day-to-day provider credentialing and re-credentialing, ensuring NCQA-compliant, audit-ready files.

You will verify licenses, board certifications, education, and work history; review applications against requirements; and collaborate across compliance, licensing, and network operations to resolve issues.

A strong analytical mindset, attention to detail, and ability to work independently are essential.