Credentialing Services Specialist

Vālenz Health® is the destination for employers, brokers, payers, and providers to reduce costs, improve quality, and elevate the healthcare experience. Through advanced technology and clinical expertise, Valenz creates a distinctly different approach to a complex healthcare system. With our solutions, we execute across the entire healthcare journey — from member experience to payment integrity, provider quality, and plan performance. With one of America’s largest cost, quality and utilization datasets, we create greater transparency, flexibility, and cost containment — empowering members and employers with the information they need to make smarter, more cost-effective decisions.

As a Credentialing Services Specialist, you’ll support credentialing and sanction monitoring services for healthcare organizations by completing verification activities, managing compliance-related reporting, and providing client support across credentialing platforms and processes. You’ll help ensure credentialing and monitoring activities are completed accurately and within required time frames while assisting clients with system, account, and process-related questions or issues. You’ll also maintain detailed documentation and support compliance with applicable federal, state, client, and organizational requirements.

• Performs credentialing, sanction monitoring, and verification activities for employees, providers, vendors, and other applicable individuals or entities.
• Manages client credentialing and compliance reporting and ensures required reports are completed accurately and within established or mandated time frames.
• Provides client support related to credentialing systems, sanction monitoring processes, account access, reporting, and other service-related questions.
• Guides clients through credentialing and sanction monitoring workflows and provides troubleshooting support when issues arise.
• Researches, identifies, and resolves system, data, account, and process-related issues or escalates matters when additional support is required.
• Responds to client inquiries through phone, email, and other communication channels in a timely and professional manner.
• Documents, tracks, and monitors client questions, service requests, and issues through resolution.
• Reviews account activity and reporting for accuracy, completeness, and compliance with established procedures and client requirements.
• Maintains accurate records and documentation to support credentialing, sanction monitoring, audit, and compliance activities.
• Communicates identified discrepancies, risks, or unresolved issues to appropriate internal or client stakeholders.
• Collaborates with internal teams to resolve client issues, improve service delivery, and support effective credentialing operations.
• Maintains knowledge of credentialing procedures, sanction monitoring requirements, systems, and applicable compliance standards.
• Follows established company policies, procedures, confidentiality requirements, and data security standards.
• Performs other related duties and supports departmental initiatives as assigned.

Reasonable accommodation may be made to enable individuals with disabilities to perform essential duties.

• High school diploma or equivalent required.
• Strong attention to detail with the ability to maintain accurate records and manage compliance-sensitive information.
• Strong critical thinking, research, and problem-solving skills with the ability to identify discrepancies and resolve routine issues independently.
• Excellent verbal and written communication skills with the ability to provide professional support to internal and external clients.
• Strong organizational and time-management skills…