US Healthcare - Provider Credentialing

Job Title- Sr Executive (Provider Enrollment & Credentialing)

Job Description

As a Credentialing Associate at PracticeGrid Solutions, you’ll play a vital role in supporting the onboarding and verification process for healthcare professionals across the U.S. Your main focus will be on reviewing applications, verifying credentials such as licenses and certifications, and conducting background checks to ensure that all providers meet regulatory and organizational standards.

This position requires strong organizational skills and a sharp eye for detail, as you’ll be responsible for keeping provider records accurate and up-to-date. You’ll work closely with internal teams to resolve any issues that arise during the credentialing process, helping to keep everything running smoothly.

Staying current with healthcare regulations is a key part of the role, and you'll have the opportunity to contribute to the ongoing development of policies and procedures that improve how credentialing is managed. Your efforts will directly impact the quality and safety of care by helping to ensure that only properly vetted professionals are approved to practice.

Roles & Responsibilities

• Oversee credentialing processes, ensuring compliance with industry and regulatory standards.
• Collect, review, and verify documentation such as licenses, certifications, and work history.
• Maintain and update credentialing databases with accurate and current provider information.
• Track credentialing status, expirations, and re-credentialing timelines using software tools.
• Act as the primary contact for healthcare providers, guiding them through the credentialing process.
• Collaborate with internal teams, including HR and legal, to ensure credentialing requirements are met.
• Conduct audits to identify areas for improvement and ensure compliance with policies.
• Prepare detailed reports on credentialing activities and outcomes for leadership review.
• Stay current with state and federal regulations to ensure compliance.
• Assist in developing and implementing credentialing policies aligned with best practices and organizational standards.

Experience Required - 4-7 years

Job Location - Remote (Jaipur Candidates Preferred)

Reimbursement - Negotiable

If you have relevant experience please drop your CV at contact@practicegridsolutions.com