Credentialing Specialist

Choctaw Global

. Manage full-cycle credentialing and re-credentialing activities for clinical and ancillary providers .

Posted 9/22/2026part-timeRemote • Texas • United StatesJuniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in managing full-cycle credentialing processes, including primary source verification and compliance with healthcare regulations. Proficient in utilizing credentialing software and maintaining accurate provider documentation while ensuring timely renewals and adherence to accreditation standards.

Highest-signal resume keywords

Healthcare Credentialing ExperiencePrimary Source VerificationMD-Staff Software ProficiencyCredentialing Certification (CPCS)Regulatory Compliance Knowledge

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Credentialing ProcessesPrimary Source VerificationCompliance DocumentationData AnalysisCredentialing SoftwareDatabase ManagementDocumentation ReviewBackground ChecksAudit ConductingProcess Improvement

Soft Skills

Attention to DetailProfessional CommunicationDeadline ManagementProblem SolvingOrganizational Skills

Tools & Technologies

MD-Staff SoftwareMicrosoft OfficeCredentialing Software PlatformsDatabase Systems

Certifications & Qualifications

Certified Provider Credentialing Specialist (CPCS)

Industry Keywords

Healthcare Accreditation StandardsNCQA StandardsJoint Commission StandardsDoD Credentialing RequirementsDHA Credentialing Systems

About the role

Key responsibilities & impact

Manage full-cycle credentialing and re-credentialing activities for clinical and ancillary providers
Conduct primary source verification of licensure, education, training, certifications, and employment history
Collect, review, and maintain credentialing documentation and provider files
Upload and maintain documentation in the MD-Staff-approved credentialing software system
Conduct NPDB queries, sanctions checks, background checks, and other required screenings
Prepare and submit credentialing packets to military treatment facilities and applicable governing or oversight organizations
Coordinate provider privileging and appointment processes with military treatment facility personnel and other stakeholders
Track licenses, certifications, and expirable credentials to ensure timely renewals and continued compliance
Communicate with providers and third-party organizations to obtain missing or incomplete documentation
Conduct periodic audits of credentialing files for accuracy, completeness, and compliance
Collect, analyze, and report credentialing data and compliance metrics
Prepare reports on credentialing status, timelines, and compliance
Identify process improvement opportunities and make recommendations
Remain current on credentialing requirements, regulations, standards, and best practices
Perform other duties as assigned

Requirements

What you’ll need

High school diploma or equivalent
At least one (1) year of healthcare credentialing experience
Experience processing credentialing applications, primary source verifications, and compliance documentation
Experience using MD-Staff software is highly preferred
Knowledge of credentialing processes, primary source verification, and regulatory compliance
Familiarity with healthcare accreditation standards and credentialing best practices
Strong attention to detail and ability to manage high-volume, deadline-driven workflows
Proficiency with Microsoft Office and credentialing and/or database systems
Associate degree in Healthcare Administration, Business Administration, or a related field preferred
Experience with DoD, DoW, or DHA credentialing requirements and systems preferred
Experience supporting credentialing activities at a military treatment facility preferred
Credentialing certification such as Certified Provider Credentialing Specialist (CPCS) preferred
Familiarity with NCQA and/or Joint Commission standards preferred
Experience with additional credentialing software platforms preferred
Ability to manage multiple providers, requirements, deadlines, and expiring credentials
Ability to communicate professionally with providers, government personnel, internal stakeholders, and external organizations
Ability to prioritize competing deadlines in a high-volume environment
Ability to identify missing information and resolve issues
Understanding of confidentiality and protection of sensitive provider and healthcare information

Benefits

Comp & perks

Part-time contract position
15 to 25 hours per week, not to exceed 30 hours per week
Opportunity to support programs benefiting Service Members and their families
Work as part of a professional team dedicated to quality, compliance, and exceptional service