Senior Credentialing Specialist (Healthcare)

Senior Credentialing Specialist (Multi-State Enrollment & Payer Relations) Location: Remote Employment Type: 20 hours per week to start, transitioning to 40 hours per week after 60-90 days Position Overview: We are seeking a highly experienced credentialing professional to support provider enrollment across a growing, multi-state behavioral health organization. This role requires demonstrated experience managing complex, high-volume credentialing for large provider groups, including initial enrollments across multiple states and payers. This is not a maintenance-focused position. The ideal candidate has hands-on experience navigating group and individual enrollments, payer roster submissions, and multi-state expansion, and can independently manage timelines, resolve enrollment barriers, and drive providers to active, billable status with minimal oversight. Key Responsibilities Manage end-to-end credentialing and enrollment for providers with commercial and government payers Lead initial enrollments for new providers, new states, and new payer contracts Submit and track applications through platforms such as CAQH ProView, PECOS, and Availity Coordinate and manage provider roster submissions tied to group contracts Ensure consistency across provider data (CAQH, NPPES, licensure, DEA) to prevent enrollment delays Follow up with payers to resolve application issues and maintain progress Maintain accurate and audit-ready credentialing records Collaborate with operations, billing, and onboarding teams to support timely provider activation Qualifications Minimum of 3 years of credentialing experience in a healthcare setting Demonstrated experience with initial enrollments and multi-state credentialing Experience working with Medicare, Medicaid, and commercial payers Strong understanding of group vs. individual enrollment structures and provider rosters Ability to manage multiple applications simultaneously with strong attention to detail Proactive and accountable in managing follow-up and issue resolution Preferred Qualifications Experience in behavioral health or psychiatry Experience supporting multi-state expansion efforts Role Expectations Providers are enrolled and billable within expected timeframes Applications are submitted accurately with minimal rework Enrollment status is clearly tracked and communicated