Strategic Credentialing Specialist — NCQA & Plans

Tenet Healthcare; Dallas (TX); On-site; USD 55,000 - 85,000; Full time

Job summary

Tenet Healthcare is seeking a Credentialing Specialist to support local market onboarding by collecting credentialing data, managing CAQH applications, and coordinating with health plans to ensure timely credentialing and billing readiness.

Ideal candidates bring at least five years of credentialing experience, knowledge of NCQA standards, and strong communication skills to maintain peer relationships and ensure compliance across plans and payors.

Qualifications

• Minimum of five years of experience in a managed care role, centralized credentialing office or related health care environment.
• Knowledge of health plan and governmental payer credentialing, enrollment, and requirements.
• Knowledge of CAQH application.
• Knowledge of contract language interpretation and administration
• Ability to work within a deadline-intense environment.
• Demonstrated problem-solving and customer service skills.
• Knowledge of Microsoft Word and other PC applications.
• High School Diploma required; completion of an applicable Vocational or Technical training program preferred.
• Excellent verbal and written communication skills.

Responsibilities

• Data Entry- 5%
• Initial credentialing or recredentialing per NCQA- 30%
• Health plan submission (delegated, non-delegated)- 30%
• UCC credentialing- 25%
• Other duties as assigned- 10%

Skills

Verbal communication

Written communication

Microsoft Word

PC applications

Education

High School Diploma

Vocational/Technical training

Tools

CAQH application

Job description

Tenet Healthcare is seeking a Credentialing Specialist to support local market onboarding by collecting credentialing data, managing CAQH applications, and coordinating with health plans to ensure timely credentialing and billing readiness.

Ideal candidates bring at least five years of credentialing experience, knowledge of NCQA standards, and strong communication skills to maintain peer relationships and ensure compliance across plans and payors.