Credentialing Specialist - Work from Home

Overview

Credentialing Specialist - Work from Home

Broad Path, a Sagility Company, is hiring experienced Credentialing Specialists to join our remote team. Credentialing Specialists support our health plan operations by ensuring timely, accurate provider credentialing. This role is key to maintaining compliance with internal standards and external regulations while supporting a high-quality provider experience.

Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through service offerings for clinical, case management, member engagement, provider solutions, payment integrity, claims cost containment, and analytics. Sagility has more than 25,000 employees across 5 countries.

• Base Pay:
  Starting at $20 per hour
• Pay frequency:
  Weekly pay

• Schedules can fall between the hours of 9:00 AM – 9:00 PM Eastern Time and will be assigned based on business needs

• Verify provider credentials through approved sources in a timely and accurate manner
• Track and process credentialing and re-credentialing applications
• Enter and update provider information in the credentialing database
• Maintain and update provider demographics
• Monitor and manage data from delegated entities
• Communicate with providers or their office staff regarding credentialing status and required documentation
• Identify and report non-compliance or credentialing issues to the supervisor
• Ensure confidentiality of sensitive data and documents
• Perform other duties as assigned

• 1+ years of experience of provider credentialing for a health plan
• Strong organizational and time management skills
• Ability to meet deadlines and handle high-volume work
• Able to work independently and in a team setting
• Strong attention to detail and problem-solving skills
• Familiarity with NCQA, CMS, and state credentialing standards
• Excellent written, verbal, and interpersonal communication skills

• Medical, Dental, and Vision coverage
• Life Insurance
• Short-Term and Long-Term Disability options
• Flexible Spending Account (FSA)
• Employee Assistance Program
• 401(k) with employer contribution
• Paid Time Off (PTO)
• Tuition Reimbursement

Broad Path, a Sagility Company, may conduct background checks, previous employment verifications, and education verifications, based on position requirements.

At Broad Path, a Sagility Company, diversity is our strength. We embrace individuals from all backgrounds, experiences, and perspectives. We foster an inclusive environment where everyone feels valued and empowered. Join us and be part of a team that celebrates diversity and drives innovation.

Equal Employment Opportunity/Disability/Veterans:
If you need accommodation due to a disability, please email  This information will be held in confidence and used only to determine an appropriate accommodation for the application process.

Broad Path, a Sagility Company is an Equal Opportunity Employer. We do not discriminate against our applicants because of race, color, religion, sex (including gender identity, sexual orientation, and pregnancy), national origin, age, disability, veteran status, genetic information, or any other status protected by applicable law.

Location: Work@Home USA, United States of America