Senior Credentialing Specialist

Better Life Partners; Boston (MA); Remote; USD 54,670 - 66,000; Full time

Job summary

A health organization is seeking a Senior Credentialing Specialist to oversee provider credentialing and ensure compliance with health plan requirements. This role involves supervising credentialing staff, maintaining provider data in EMR systems, and managing licensing issues. The position is primarily remote, requiring candidates to reside in specific states. Suitable candidates should have extensive experience in provider credentialing, preferably in a behavioral health setting, and be proficient with EMR systems. The role offers a competitive salary range and a supportive work environment focused on recovery and inclusion.

Qualifications

• Extensive experience in provider credentialing, preferably in a behavioral health setting.
• Proven experience supervising or mentoring staff.
• Comfortable working independently and collaborating across remote teams.

Responsibilities

• Oversee provider credentialing, licensure, and internal enrollment with Medicare and Medicaid.
• Lead and supervise credentialing support staff.
• Enter and maintain provider data in EMR and billing systems.

Skills

Provider credentialing

Licensure and health plan enrollment

Detail-oriented

Experience supervising staff

Knowledge of multi-state licensing

Education

Bachelor's degree or equivalent experience

Tools

EMR systems

Job description

Base pay range

$54,670.00/yr - $66,000.00/yr

Company Overview

At Better Life Partners, we provide what it takes to heal from addiction. Wherever. Whenever.

We work alongside community-based organizations to meet our members where they are, no matter what recovery looks like to them. By combining virtual and in-person counseling, community support, and access to life‑saving medication, we help people move beyond addiction to find belonging, love, and purpose.

The role

The Senior Credentialing Specialist plays a critical role in overseeing provider credentialing, licensure, roster maintenance, and health plan enrollment. Reporting to the VP of Revenue Cycle Management, this role leads credentialing support staff and ensures providers are fully credentialed, enrolled with payers, and compliant with licensing requirements. The position also ensures accurate and timely entry of provider data into the EMR and billing systems, supporting operational efficiency and revenue cycle accuracy.

Unless otherwise specified, this position is remote (work from home). Candidates must reside in one of the following states: Maine, Maryland, Massachusetts, New Hampshire, New Jersey, New York, North Carolina, Pennsylvania, Rhode Island, or Connecticut.

What you will do

• Credentialing, Licensure, and Roster Maintenance
• Lead and supervise credentialing support staff, ensuring quality, accuracy, and timely processing of credentialing and enrollment tasks
• Oversee provider credentialing, licensure, and internal enrollment with Medicare, Medicaid, Managed Care, and Commercial Plans
• Enter, update, and maintain provider data in the EMR and billing systems to ensure accurate records for credentialing, billing, and operational purposes
• Maintain provider rosters, monitor license and certification renewals, and ensure compliance with regulatory and internal standards
• Resolve credentialing and licensure issues, escalating potential delays to leadership as needed
• Facilitate multi‑state licensure and DEA registrations, ensuring smooth onboarding and cross‑state compliance
• Serve as the primary point of contact for providers, clinical leadership, and state licensing boards regarding credentialing and enrollment matters

You are a good fit if you have

• Bachelor’s degree or equivalent experience
• Extensive experience in provider credentialing, licensing, and health plan enrollment, preferably in a behavioral health setting
• Knowledge of multi‑state licensing requirements and credentialing best practices
• Proven experience supervising or mentoring staff
• Experience entering and maintaining provider data in EMR and billing systems
• Highly detail‑oriented, proactive, and able to prioritize multiple tasks in a fast‑paced environment
• Comfortable working independently and collaborating across remote teams

It will also be great if you have

• CPCS Certification
• Multi‑state licensing experience in NH, VT, ME, NC and MA
• Hands‑on experience with internal provider enrollment platforms such as Verifiable

Work location requirements

• BLP operates in hybrid and remote work environments, which allows us to better meet our members and partners where they’re located. Candidates applying for this role must be willing and able to travel locally within the communities we serve and/or travel to onsite meetings as expected in coordination with their department and business needs.

When working from home, the requirements include

• Must have reliable internet service with a fast upload/download ability
• Ability to ensure any protected health or proprietary data/information is not visible (or audible) to others in any work location
• Must have a quiet space to speak to members, team members, or external partners with minimal background noise and distractions

In addition to a competitive compensation package, we’re offering the chance to be the change you wish to see in your community. Help us work toward a future where everyone can have a healthy life filled with belonging, love, and purpose.

We’re a recovery‑friendly workplace that values family life, diversity, equity, and inclusion.

We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.

The actual compensation offered within the range, along with title and level, will be dependent on a variety of factors including, but not limited to, relevant experience, qualifications, skills, level offered, business requirements, and performance expectations.

Seniority level

Not Applicable

Employment type

Full‑time

Job function

Health Care Provider

Industries

Hospitality, Food and Beverage Services, and Retail