Credentialing Specialist

Alma Health

Remote, US
Base: $70,000 - $90,000; bonus/equity: not specifi...
Remote
4+ years healthcare credentialing experience
Ncqa standards and primary source verification
Caqh proview system proficiency
Alma Health is seeking a detail-oriented Credentialing Specialist to oversee the provider credentialing lifecycle remotely. The ideal candidate will have at least four years of healthcare credentialing experience, particularly in behavioral health, and will be responsible for ensuring compliance with various regulatory standards

Job Summary

  • Alma is on a mission to simplify access to high-quality, affordable mental health care by making it easy for therapists to accept insurance.
  • The specialist will own the end-to-end execution of the provider credentialing lifecycle, ensuring all clinicians meet NCQA, state, and federal standards.
  • Benefits include comprehensive health insurance through Aetna and MetLife, flexible PTO, and a monthly co-working space membership stipend.

Matching Summary

Match Score: 85

Alma Health is seeking a detail-oriented Credentialing Specialist to oversee the provider credentialing lifecycle remotely. The ideal candidate will have at least four years of healthcare credentialing experience, particularly in behavioral health, and will be responsible for ensuring compliance with various regulatory standards.

Salary

Base: $70,000 - $90,000; Bonus/Equity: Not specified; Benefits: Comprehensive health plans, 401K, stipends, and flexible PTO

Skills & Requirements

Must-have

  • 4+ years healthcare credentialing experience
  • NCQA standards and primary source verification
  • CAQH ProView system proficiency
  • CVO partnership and SLA management
  • Expirables tracking and license monitoring

Nice-to-have

  • Behavioral Health industry experience
  • Revenue Cycle Management collaboration skills
  • Process automation and workflow optimization
  • Autonomous research of state regulations
  • Complex data puzzle solving approach

Key Requirements

  • Bachelor's degree preferred or equivalent experience
  • CPCS certification preferred
  • Direct management of end-to-end credentialing processes

Work Rights

Not specified

Tailored Resume

Cover Letter