Job Details
Credentialing Specialist
2026-01-15 AmeriHealth Caritas all cities,AK
Description:
Our Comprehensive Benefits Package
Flexible work solutions include remote options, hybrid work schedules, competitive pay, paid time off, holidays and volunteer events, health insurance coverage for you and your dependents starting Day 1, 401(k) retirement savings plan, tuition reimbursement, and more.
Why Join Us: Your career starts now. We are looking for the next generation of healthcare leaders. At AmeriHealth Caritas, we are passionate about helping people get care, stay well, and build healthy communities. As one of the nation's leaders in healthcare solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services, and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together, we can build healthier communities. If you are driven to make a difference, we want to hear from you.
About AmeriHealth Caritas
Headquartered in Newtown Square, Pennsylvania, AmeriHealth Caritas is a mission-driven organization with over 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. Our services include integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover more about us at
Role Overview
The Credentialing Specialist is responsible for managing credentialing and re-credentialing processes for all providers in compliance with NCQA, state, and federal regulations.
Key Responsibilities
- Validate completeness of provider applications prior to processing.
- Perform primary source verification for credentialing and re-credentialing applications.
- Monitor site visit progress and ensure completion within established timeframes.
- Accurately enter provider application data into the credentialing system.
- Respond to inquiries from internal and external clients via the credentialing phone queue.
- Complete assigned projects and tasks within deadlines.
- High School Diploma or GED and 4+ years of credentialing experience
- OR Associate's degree with 1-2 years of credentialing experience
- Bachelor's degree preferred with at least 1 year of credentialing or related experience
- 1-4 years of provider credentialing experience in a hospital or health insurance setting
- Proficiency in Microsoft Office and standard PC applications
- Strong verbal and written communication skills
- Excellent organizational and time management skills
- Ability to work in a metrics-driven environment
Our Comprehensive Benefits Package
Flexible work solutions include remote options, hybrid work schedules, competitive pay, paid time off, holidays and volunteer events, health insurance coverage for you and your dependents starting Day 1, 401(k) retirement savings plan, tuition reimbursement, and more.
Why Join Us: Your career starts now. We are looking for the next generation of healthcare leaders. At AmeriHealth Caritas, we are passionate about helping people get care, stay well, and build healthy communities. As one of the nation's leaders in healthcare solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services, and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together, we can build healthier communities. If you are driven to make a difference, we want to hear from you.
About AmeriHealth Caritas
Headquartered in Newtown Square, Pennsylvania, AmeriHealth Caritas is a mission-driven organization with over 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. Our services include integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover more about us at