Credentialing Senior Specialist

Position Summary

The Credentialing Specialist is responsible for managing and maintaining the credentialing and recredentialing processes for healthcare providers who are joining, or already participating in the network. This role ensures that all providers meet regulatory, payer, and organizational requirements, and that all credentialing activities are completed timely and accurately. The specialist maintains Credentialing systems and works closely with providers to verify qualifications including education, training, licenses, certifications, work history, and other essential business and credentialing requirements.

• 1-3 years healthcare provider credentialing experience
• Knowledge of CAQH, NPDB, EPDB

• Proficiency with Microsoft Office Suite (Word, Excel, Outlook, Teams)
• Strong attention to detail
• Effective written and verbal communication
• Ability to learn new systems/programs quickly

High School Diploma or equivalent

40

Full time

The typical pay range for this role is: $18.50 - $42.35

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan
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• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

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We anticipate the application window for this opening will close on: 03/13/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.