- Manage end-to-end provider credentialing and re-credentialing in compliance with Evara Health policies and NCQA, HRSA, FTCA, AAAHC, and other regulatory standards.
- Collect, verify, and track required documentation including licensure, board certification, DEA registration, malpractice insurance, and education records.
- Conduct primary source verifications and background checks to ensure provider eligibility and compliance.
- Maintain accurate credentialing files and digital databases, tracking expirations and proactively communicating renewal requirements.
- Prepare credentialing reports and support Credentialing Committee meetings, including materials, documentation, and follow-up.
- Serve as a liaison for internal departments, providers, hospitals, health plans, and licensing agencies regarding credentialing and enrollment matters.
- Generate reports and dashboards to monitor credentialing status, expirables, and pending items.
- Support audits, site visits, and accreditation reviews, ensuring documentation readiness.
- Contribute to process improvements that enhance workflow efficiency, accuracy, and compliance.
- Impact: Every day, you'll make a significant impact on our patients' lives, leading efforts that go beyond healthcare to ensure community wellbeing.
- Growth: We support your professional development through continuous learning and opportunities to grow within Evara Health.
- Recognition: As part of our team, your hard work will be recognized and rewarded, contributing to your professional fulfillment and job satisfaction.
- High School Diploma or GED required; Associate's or Bachelor's degree in Healthcare Administration or related field preferred.
- Minimum of 2 years of experience in provider credentialing or payer enrollment.
- Generous Time Off: Enjoy 15 days of paid time off with an option to cash out unused days.
- Holidays: Celebrate with 10 paid holidays and an additional 1 day off for your birthday.
- Wellness Perks: Enjoy a free gym membership to support your health and fitness goals.
- Work-Life Balance: Benefit from a typical Monday-Friday schedule.
- Educational Support: Take advantage of education assistance programs to further your professional development.
- Career Advancement: Numerous opportunities to advance within nursing leadership or other roles.
- Education Assistance: Up to $1,500 a year for education assistance including trainings, certifications or formal education
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Credentialing and Privileging Specialist - Clearwater - Evara Health
Description
Join Evara Health, where our mission to provide essential, high-quality healthcare services brings life-changing care to communities most in need. With 17 local centers and mobile health units across our network, we offer comprehensive care encompassing primary care, dental, behavioral health, pediatrics and more. At Evara Health, we are more than just a healthcare provider; we are a mission-driven, team-based organization. Our professionals come for the purpose and stay for the supportive culture and the strong, community-focused teams. Embark on a career that fulfills more than just professional goals-it transforms lives every day.
About the Role:
What sets Evara Health apart is our amazing culture and team spirit. We've set record engagement scores this year, creating an environment where our staff thrives and feels truly valued. We are able to do this through our team-based approach to work, but also in our unique benefit offerings such as:
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Credentialing and Privileging Specialist
Only for registered members Clearwater, FL
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Credentialing and Privileging Specialist
Only for registered members Clearwater
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Cybersecurity Specialist
Only for registered members Clearwater
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Cybersecurity Specialist
Only for registered members Clearwater, FL
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Outpatient Neurologist
University of Maryland Medical System- Largo
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Physician Clinic Medical Director
Only for registered members Largo
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Customer Service Representative
Full time Only for registered members Largo
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Medical Assistant I
Only for registered members Largo
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Customer Service Representative
Only for registered members Largo
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Customer Service Representative
Only for registered members Largo, FL
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Credentialing Specialist
Full time Only for registered members Clearwater
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Credentialing Specialist
Only for registered members Clearwater, FL
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Medical Assistant I
OTHER Only for registered members Largo
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Medical Assistant
Only for registered members Largo, FL
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Quality Assurance Specialist
Only for registered members Oldsmar
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Quality Assurance Specialist
Only for registered members Oldsmar, FL
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Physician / Pediatrics / Florida / Locum Tenens / Primary Care Physician NeededIn Seminole, FL - Bo
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Physician (Emergency Department)
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Physician (Pain Management & Interventional Pain)
Only for registered members Bay Pines
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Physician (Emergency Department)
Only for registered members Bay Pines, FL
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Physician (Pain Management & Interventional Pain)
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