Delegated Credentialing Specialist - Grow Therapy｜Meet.jobs

About The Role

We’re looking for an experienced Delegated Credentialing Specialist who is passionate about improving the landscape for mental healthcare. In this role, you’ll play a key role in getting our providers in-network with some of the country’s largest health plans. Responsibilities include:

• Review our flagged provider files to make sure we have all of the necessary information before bringing an application in front of our Credentialing Committee
• Participate in facilitating the Credentialing Committee meetings
• Lead the charge on reviewing audit files and pull together the necessary materials
• Review and approve collaborative agreements, ensuring compliance with state-level regulations and Grow policies
• Collaborate with our operations teams to identify and facilitate process improvements
• Remain up-to-date on NCQA and industry standards. Propose necessary changes to current policies and procedures/operations
• Review and submit documentation and reports, per payor requirements
• Manage special projects as needed

You’d be a great fit if...

• You’re a credentialing expert. You’ve prepped for delegated committees before, and you meet the following requirements:

  • Certified Provider Credentialing Specialist (CPCS) with at least two years of experience in Provider Credentialing OR at least three years of experience in Provider Credentialing
  • Strong familiarity with credentialing processes, terminology and primary source verification resources; these include: CAQH, NPDB, PECOS, State Licensing, Accreditation and Certification agencies

• You have excellent communication skills. You have the ability to be persuasive and credible with a wide variety of audiences both internal and external.

• You’re tech savvy. You’ve efficiently learned new software in the past, and you’re willing to learn HubSpot, Verifiable, Slack, and Excel if you don’t know how to use them already.

• You can maintain confidentiality and discretion in all communications on behalf of credentialing applicants.

• You’re detail oriented. You understand the importance of strong attention to detail when scrubbing or reviewing files.

The salary range for this position is $73,102 - $90,000 USD.

*If you don’t meet every single requirement, but are still interested in the job, please apply. Nobody checks every box, and Grow believes the perfect candidate is more than just a resume. *

Note: Please upload your resume in PDF format