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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in healthcare credentialing and provider enrollment processes, with a strong focus on compliance and accuracy. Proficient in utilizing CAQH ProView and Google Workspace to manage provider documentation and maintain audit-ready records.
Highest-signal resume keywords
Healthcare CredentialingCAQH ProView ProficiencyNPDB Query UnderstandingCompliance MindsetCPCS Certification
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Provider EnrollmentCredentialing Standards AuditingDiscrepancy InvestigationDocument ManagementRe-Credentialing Calendar Management
Soft Skills
Attention to DetailProblem SolvingIndependent Work
Tools & Technologies
Google WorkspaceCAQH SanctionsTrack℠
Certifications & Qualifications
CPCSCPMSM
Industry Keywords
Managed Care OperationsHealthcare ComplianceProvider NetworksRadiologyImaging
About the role
Key responsibilities & impact- Manage the end-to-end provider enrollment process
- Serve as the primary power user for CAQH ProView, including profile pulls, re-attestations, and troubleshooting technical enrollment hurdles
- Investigate sanctions alerts and NPDB queries
- Document and precisely escalate adverse findings
- Partner with major provider groups to audit credentialing standards
- Maintain accurate, up-to-date provider rosters
- Own the re-credentialing calendar and prevent compliance lapses
- Work with the Account Management team to resolve bottlenecks
- Maintain audit-ready documentation for licenses, COIs, and accreditations
- Support leadership decisions by maintaining a comprehensive audit trail
Requirements
What you’ll need- Solid foundation in healthcare credentialing, provider enrollment, or managed care operations
- Proficiency with CAQH ProView
- Understanding of NPDB query processes
- Compliance mindset and high attention to accuracy
- Ability to investigate discrepancies and resolve ambiguous provider files independently
- Proficiency in Google Workspace, especially Sheets
- Comfort working in a technology-first startup environment
- AI-amplified workflow for drafting, analysis, and research; ability to check AI output and use it responsibly with sensitive data
- CPCS or CPMSM certification is a plus
- Experience with CAQH SanctionsTrack℠ is a plus
- Background in radiology, imaging, or high-growth outpatient provider networks is a plus
Benefits
Comp & perks- Bonus
- Equity
- Flexible remote or hybrid work options
- Dedicated personal development budget
- Medical, vision, and dental coverage
- 28+ days of paid time off across PTO and wellbeing days
- Paid parental leave
- 401k retirement plan
- All the equipment you need to do your best work
- Inclusive, people-first policies designed by our team, for our team
