Assoc Client Services Rep (Credentialing Specialist​/Provider Enrollment Specialist

About Cedar Gate Technologies

Cedar Gate Technologies, an IQVIA business, enables payers, providers, employers, and service administrators to excel at value-based care with a unified technology and services platform delivering analytics, care, and payment technology on a single data management foundation. At Cedar Gate, you’ll be part of a collaborative, innovative environment where great ideas thrive. We invest deeply in our people through ongoing training, comprehensive benefits, and a strong culture of teamwork, offering the chance to grow your skills while contributing to high impact initiatives for some of the world's most dynamic companies.

As a Client Services Representative, Credentialing at Cedar Gate Technologies, an IQVIA business, you will play a key role in supporting credentialing services for healthcare clients by maintaining accurate provider information, validating data, and resolving credentialing-related discrepancies. Serving as a trusted resource to physician practices, hospitals, and healthcare payers, you will apply your knowledge of provider credentialing processes, industry regulations, and established policies to ensure the integrity and quality of credentialing data.

In this fast-paced environment, you will manage multiple priorities while meeting time-sensitive deadlines with exceptional attention to detail and accuracy. You will use sound judgment to research and resolve issues, adapt to evolving client and business needs, and contribute to the successful delivery of high-quality credentialing services. Strong organizational and customer service skills are essential, as you will build productive client relationships, deliver responsive support, and help drive client satisfaction and operational excellence.

Your ability to balance precision, responsiveness, and professionalism will make you a valued contributor to both the Credentialing team and Cedar Gate's continued success.

• Prepare credentialing information for the client's contracted health plans, including document review and credentialing file preparation
• Perform primary source verifications
• Follow up with individual practitioners and internal and external entities to resolve discrepancies identified during the credentialing process
• Keep the manager informed of potential credentialing issues or delays
• Complete data entry of provider credentialing information into web-based provider database
• Maintain an accurate database of provider credentialing information in a web-based provider database by performing routine data reconciliation
• Prepare credentialing committee meeting documents for distribution, facilitate committee meetings and record meeting minutes
• Complete review of scanned provider file documents in OnBase to validate document retention
• Prepare and review provider application and client documents for annual payer audits
• Communicate with client's payers to ensure timely receipt of provider payer effective dates
• Participate in annual policies and procedures review and revision
• File and maintain credentialing contract file documents
• Maintain a working knowledge & application of computer directories, folders, and worksheets for filing and storing data
• Respond to all practitioners, client health plans, and internal inquiries in a timely manner
• Participate in team meetings and process improvement initiatives to continuously improve work product quality and efficiency

Houston, TX, highly preferred – Hybrid (1 day in office, 4 remote);

May also consider anywhere in the United States

U.S. residents only; work must be performed within the United States.

• 3+ years of credentialing experience, preferably in a delegated credentialing environment
• NAMSS Certified Provider Credentialing Specialist (CPCS) certification preferred or working toward certification
• Detail-oriented with the ability to recognize vital information from credentialing documents
• Proven ability to exercise independent judgment in managing and relaying confidential information
• Ability to work well under tight deadlines and respond to changing demands and provide efficient follow-up rapidly
• Abili…