Referso Jobs

Director of Corporate Licensing & Credentialing

DHVAJ · Posted Nov 10, 2026

Open

Remote, United States
Remote
Manager
5–7 years

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Director of Corporate Licensing & Credentialing

DHVAJ · Posted Nov 10, 2026

Open

Remote, United States
Remote
Manager
5–7 years

Apply with Referso

Credentialing Specialist

Astrana Health, Inc. · Posted Nov 9, 2026

Open

Remote, United States
Remote
Full-time · Associate
$19–$25 per hour
2+ years

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The Credentialing Specialist serves as a key liaison between providers, health plans, and internal stakeholders to ensure timely and accurate completion of credentialing and enrollment processes.

Compensation

The target pay range for this role is $19 - $25 per hour.

Responsibilities

Review, prepare, and submit provider credentialing, enrollment, and recredentialing applications for health plans, government programs, and healthcare organizations
Manage provider enrollment and maintenance activities within CAQH, PECOS, NPPES, Medicare, Medicaid, and commercial payer portals
Verify provider qualifications, including education, licensure, certifications, malpractice coverage, and other required documentation
Maintain accurate credentialing records and monitor renewal timelines to ensure compliance and uninterrupted participation
Ensure compliance with CMS, Medicare, Medicaid, NCQA, state, and health plan credentialing requirements

Requirements

High school diploma or equivalent
Nice to have: Credentialing certification through NAMSS
Nice to have: CPCS (Certified Provider Credentialing Specialist)
Nice to have: CPMSM (Certified Professional Medical Services Management)
Nice to have: Athenahealth

Skills

provider credentialing

DIRECTOR OF POPULATION HEALTH

COMMUNITY HEALTH OF SOUTH FLORIDA INC · Posted Nov 10, 2026

Open

Miami, Florida, United States
Full-time · Director
5+ years

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Provides direction for value-based programs including Population Health, CARES, and Internal Credentialing, overseeing program applications, care coordination, and performance maximization strategies.

Responsibilities

Provide visionary guidance on all of CHI’s care coordination activities
Serves as the primary point of contact for managed care organizations and MSOs on all value-based contracted business
Effectively communicates performance and participation expectations to population health staff, leadership, providers, and support staff
Remains versed on all Managed Care and ACO contractual agreements and ensures accountability towards provider reimbursement, incentives, and risk-bearing arrangements
Actively monitors and assesses contractual performance including financial and quality targets

Requirements

Associate’s degree in a health-related field preferred
Nice to have: Basic computer knowledge

Skills

Minimum of 2+ years in clinical care management Experience working with culturally diverse clients Knowledge regarding the Managed Care programs incentives and requirements to include but not limited to HEDIS, Pay for Performance, Medical Loss Ratio, and Utilization

Medical Virtual Assistant (Credentialing)

QuickTeam · Posted Nov 9, 2026

Open

Remote, Philippines
Remote
Full-time
$6–$6 per hour

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Medical Virtual Assistant with hands‑on credentialing experience for US healthcare providers, working remotely from the Philippines during US business hours.

Compensation

Salary: $6/Hour

Responsibilities

Prepare, submit and track Medicare enrollments in PECOS
Manage NPPES records and update NPIs
Manage CMS Identity & Access connections
Complete commercial payer credentialing and contracting applications
Create, update and re‑attest CAQH ProView profiles

Skills

PECOS Medicare enrollment CAQH ProView NPPES CMS I&A commercial payer credentialing state Medicaid enrollment HIPAA

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Credentialing Specialist

Keplr Vision · Posted Nov 9, 2026

Open

Full-time · Entry
2+ years

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Support provider credentialing, enrollment, and maintenance activities to ensure timely participation with payers.

Responsibilities

Coordinate provider onboarding, credentialing, and enrollment activities
Collect, review, validate, and maintain provider documentation
Create, update, and attest provider profiles within CAQH, NPPES, PECOS
Prepare, submit, and track payer enrollment applications
Conduct follow-up with payers

Requirements

Nice to have: optometry
Nice to have: ophthalmology

Skills

CAQH PECOS NPPES payer portals Microsoft 365 Outlook Excel Word Teams SharePoint

Sr. Manager, Credentialing Operations

Finni Health · Posted Oct 29, 2026

Open

Remote, United States
Remote
Full-time · Senior
5+ years

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Lead and build the credentialing function for Finni Health, managing a team and ensuring timely provider enrollment across multiple payers and states.

Responsibilities

Own the credentialing function and lead a team of managers and coordinators
Build and maintain the credentialing lifecycle stages
Develop and enforce SOPs and documentation for state and payer specific processes
Reconcile system discrepancies and maintain accurate enrollment data
Ensure compliance with Medicaid and commercial payer requirements

Skills

provider credentialing payer enrollment Medicaid CAQH NPPES PECOS state Medicaid portals commercial payer portals Google Suite Slack

Credentialing & Enrollment Coordinator

MyOme · Posted Nov 2, 2026

Open

Remote, United States
Remote
Full-time
$36–$41 per hour
3–5 years

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Owns MyOme’s laboratory payer enrollment lifecycle, ensuring the lab is credentialed, enrolled, and set up to bill and get paid by every payer.

Compensation

The hourly pay range for this role is $36.06–$40.86. Final pay will be determined based on factors such as skills, experience, and qualifications. This role is also eligible for equity.

Responsibilities

Prepare, submit, and track laboratory enrollments and revalidations with Medicare, state Medicaid programs, Medicare Advantage, and commercial payers.
Manage EDI claim enrollments (837) and ERA (835) and EFT enrollments with payers and clearinghouses, coordinating testing and go-live with the billing system vendor.
Perform XiFin file maintenance, including payer, provider, NPI, and ordering-physician setup, so claims route and remittances post correctly.
Maintain the lab’s credentialing data and documents, including NPPES, CAQH, CLIA and CAP certificates, state lab licenses, and W-9s, and track expiration and revalidation dates.
Keep a credentialing and enrollment tracker current with application status, effective dates, payer IDs, and follow-up actions.

Requirements

Associate’s degree
Nice to have: XiFin

Skills

credentialing payer enrollment

Provider Enrollment Specialist

Eye Care Partners Career Opportunities · Posted Nov 5, 2026

Open

Remote, United States
Remote
Full-time
2+ years

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Manage provider enrollment, credentialing, and data management for eye care providers.

Responsibilities

Enroll providers with payers
Complete credentialing documentation
Serve as first point of contact for internal and provider requests
Maintain provider credentialing database
Update CAQH and NPPES information

Requirements

High School Diploma or GED

Skills

Microsoft Excel Microsoft Word Microsoft PowerPoint Microsoft Outlook CAQH NPPES provider enrollment credentialing data management

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Director of Corporate Licensing & Credentialing

Director of Corporate Licensing & Credentialing

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Credentialing Specialist

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DIRECTOR OF POPULATION HEALTH

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Medical Virtual Assistant (Credentialing)

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Credentialing Specialist

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Sr. Manager, Credentialing Operations

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Credentialing & Enrollment Coordinator

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Provider Enrollment Specialist

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NPPES jobs

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