Find your dream job faster with JobLogr
AI-powered job search, resume help, and more.
Try for Free
CC

Centene Corporation

via Workday

Apply Now
All our jobs are verified from trusted employers and sources. We connect to legitimate platforms only.

Credentialing Specialist II

Anywhere
full-time
Posted 9/10/2025
Direct Apply
Key Skills:
Provider credentialing
Database management
NCQA or URAC knowledge
Audit preparation
Policy and procedure development

Compensation

Salary Range

$47K - 81K a year

Responsibilities

Credential and re-credential healthcare providers, maintain credentialing databases, perform audits, and assist with department process improvements.

Requirements

High school diploma or equivalent, 4+ years of credentialing or provider data experience, knowledge of NCQA or URAC preferred, ability to travel occasionally.

Full Description

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Assist the plan in credentialing and re credentialing providers. Credential and re-credential various providers, including physicians, healthcare delivery organizations, or pharmacies, according to applicable specifications Input and maintain databases for timely access to accurate and current network status and to allow for meaningful analysis of network size, scope, etc. May perform audits, including preparation and audit of credentialing documents Act as a “go to” person for other Credentialing Specialists and provide feedback to reduce errors and improve processes Assist with development of department policies, procedures, workflow and tools May assist with coordinating credentialing committee May require the ability to travel, a valid driver’s license, and car insurance (depending on business unit) Performs other duties as assigned Complies with all policies and standards Education/Experience: High school diploma or equivalent. 4+ years of credentialing and/or provider data experience. Knowledge of NCQA or URAC and state credentialing requirements preferred. This position is remote within the state of California or Texas. In person meetings up to 10% required. Pay Range: $22.79 - $38.84 per hour Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act Thanks for your interest in Centene and its subsidiary companies. We’re so glad that you’ve decided to fill out an application and take the next step to find your purpose. Also, we’re here to help support you on your candidate journey. Should you need an accommodation, please email recruiting@centene.com. Centene is committed to helping people live healthier lives. We provide access to high-quality healthcare, innovative programs and a wide range of health solutions that help families and individuals get well, stay well and be well.

This job posting was last updated on 9/17/2025

Ready to have AI work for you in your job search?

Sign-up for free and start using JobLogr today!

Get Started »
JobLogr badgeTinyLaunch BadgeJobLogr - AI Job Search Tools to Land Your Next Job Faster than Ever | Product Hunt