Credentialing Sr Specialist

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

Position Summary

The credentialing hub is an elite team within the credentialing department who is responsible for a variety of tasks that supports the overall success of the department.  The Hub is focused on ensuring  compliance with NCQA, URAC, Medicare, Medicaid, Delegation agreements and other pertinent  client requirements.

This role will report to our Credentialing Hub Supervisor 

Preference is given to candidates who are local to Dallas area and able to commute to the Signify Health HQ offices in Farmers Branch at 4055 Valley View Lane.

What will you do?

• Serving as the primary point of contact for clinicians and routing information to other departments; this is done by managing the general email inbox credentialing@signifyhealth.com and answering the inbound phone line 469-466-7420

• Verifying State Licenses, exclusions lists, DEA’s, Board Certifications and Medicaid/Medicare Enrollment verifications on an ongoing basis to ensure qualified and approved clinicians remain active in the network. 

•Enrolling clinicians in Medicare and Medicaid following state and federal guidelines

•Applying for state licensure for clinicians 

•Participating in Pre-Delegations and annual client audits 

•Managing  roster creations and distribution and claims issues as reported by clients related to rosters

Preferred Qualifications

• High School Diploma

• 3-5 years of successful work experience in a credentialing role/department

• NAMSS Certification as a Certified Provider Credentialing Specialist (CPCS) within 2 years of eligibility to certify.

• Intermediate skills in Google Suite Applications such as Gmail, Google Calendar, Google Sheets and Slide Presentations

• Preference is given to candidates who are local to Dallas TX and able to commute hybrid to our offices in Farmers Branch

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$18.50 - $35.29

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls.  The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.  This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. 
 

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.

• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.

• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

For more information, visit https://jobs.cvshealth.com/us/en/benefits

We anticipate the application window