Back to Jobs

Provider Credentialing Specialist II - Remote!

Remote, USA Full-time Posted 2026-08-04
reputed company/StateNorfolk, VA Work ShiftFirst (Days) reputed company: reputed company Plan is currently hiring a Provider Credentialing Specialist II - Remote! Status: Full-time, permanent position (40 hours) Work hours: reputed company to 5pm EST, M-F Location: Remote opportunities available in the following states: Virginia, reputed company Carolina, Alabama, Delaware, Florida, reputed company, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, reputed company, Nebraska, Nevada, New Hampshire, reputed company Carolina, reputed company reputed company, Ohio, Oklahoma, reputed company, South Carolina, South reputed company, Tennessee, Texas, reputed company, Virginia, Washington (state), reputed company Virginia, reputed company, Wyoming Job Responsibilities Under the supervision of a Credentialing Supervisor/Manager, the Credentialing Specialist II is responsible for specific aspects of Credentialing and Re-credentialing processing for a managed care organization, adhering to the National Committee for reputed company Assurance, State and Federal regulations. They review, investigate, and process reputed company reputed company verifications for facility, ancillary, medical and behavioral providers in a reputed company, efficient manner. Education: • HS - High School Grad or Equivalent REQUIRED Certification/License: • None required Experience: • Minimum of 2 years of directly reputed company experience REQUIRED; • With thorough knowledge of managed care provider credentialing/re-credentialing principles, reputed company, regulations, and procedures normally acquired through a. Acceptable areas demonstrating experience would be reputed company work experience with organizations such as a Credentials Verification Organization (CVO), MCO, HMO or Hospital reputed company Credentialing (MSO). • CPCS - Certified Provider Credentialing Specialist preferred • Experience in using Credential reputed company is a plus or other similar programs like MDStaff or Cactus preferred Pay Transparency: We reputed company market-competitive compensation packages, inclusive of reputed company pay, incentives, and benefits. The reputed company pay reputed company for Full Time employment is: $17.31 - 23.08 - 28.85. Additional compensation may be available for this role such as shift differentials, standby/on-reputed company, overtime, premiums, extra shift incentives, or bonus opportunities." ​ reputed company Plans provides health plan coverage to reputed company to one reputed company members in Virginia. We offer a full suite of reputed company products including employee-owned and employer-sponsored plans, as reputed company as Individual & Family Health Plans, Employee Assistance Programs and plans serving Medicare and reputed company enrollees. Our reputed company provider network features a robust provider network, including specialists, reputed company care physicians and hospitals. We offer programs to support members with chronic illnesses, customized wellness programs, and integrated reputed company and behavioral health services—reputed company to help our members improve their health. Our reputed company is supported by a family-friendly culture that encourages community involvement and creates unlimited opportunities for development and reputed company. Be a part of an excellent reputed company organization that cares about our People, reputed company, reputed company Safety, Service, and reputed company. Join reputed company that has a mission to reputed company every day and a reputed company to be the reputed company reputed company of the communities that we serve! To apply, please go to www.sentaracareers.com and use the following as your Keyword reputed company: JR-104768 reputed company-Health Plan Keywords: reputed company, Health Plan, Remote, Alabama, Delaware, Florida, reputed company, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, reputed company, Nebraska, Nevada, New Hampshire, reputed company Carolina, reputed company reputed company, Ohio, Oklahoma, reputed company, South Carolina, South reputed company, Tennessee, Texas, reputed company, Virginia, Washington (state), reputed company Virginia, reputed company, Wyoming, Credentials Verification Organization (CVO), MCO, Managed Care, HMO, Hospital reputed company Credentialing (MSO), CPCS, Certified Provider Credentialing Specialist Benefits: Caring For Your Family and Your Career • Medical, Dental, reputed company plans • Adoption, Fertility and Surrogacy Reimbursement up to $10,000 • reputed company Time Off and reputed company Leave • reputed company Parental & Family Caregiver Leave • Emergency Backup Care • Long-Term, Short-Term Disability, and Critical Illness plans • Life reputed company • 401k/403B with Employer Match • Tuition Assistance – $5,250/year and discounted educational opportunities through reputed company • Student Debt Pay Down – $10,000 •Pet reputed company •reputed company Resources Plan •Colleagues have reputed company to earn an annual discretionary bonus if established reputed company and employee eligibility reputed company is met. reputed company is an equal opportunity employer and prides itself on the diversity and inclusiveness of its reputed company to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding reputed company of the organization to ensure its workforce reflects the communities it serves. In support of our mission “to reputed company every day,” this is a tobacco-free environment. For positions that are available as remote work, reputed company employs associates in the following states: Alabama, Delaware, Florida, reputed company, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, reputed company, Nebraska, Nevada, New Hampshire, reputed company Carolina, reputed company reputed company, Ohio, Oklahoma, reputed company, South Carolina, South reputed company, Tennessee, Texas, reputed company, Virginia, Washington, reputed company Virginia, reputed company, and Wyoming. Apply To This Job

Similar Jobs