Credentialing Specialist

Long Term Temporary, Potential Temporary to Direct Hire, Credentialing Specialist Opportunity available in NYC. This is an onsite, Monday through Friday, 9am to 5pm position. Responsibilities: Collaborate with unit supervisor to approve individual provider applications. Conduct initial audit and ongoing delegated entity reviews, follow-up and communicate findings interdepartmentally as appropriate. Processes Delegated spreadsheets for Credentialing Delegated Approvals and identifies key components missing on spreadsheet for approvals. Communicate with Delegated Entity to obtain missing information from delegated spreadsheets that affects credentialing approvals. Coordinates Credentialing and Recredentialing Non-Responding provider outreach with Data Integrity Unit and collaborate with Network Management to vet application closure when applicable. Perform additional duties and projects assigned by management. Qualifications Bachelors Degree preferred. High School Diploma or GED required Minimum of 2 years of credentialing experience in a managed care or medical environment required. Minimum two (2) years administrative experience in a general office environment. Proficiency in Microsoft Word and Excel required Excellent interpersonal and communications skills - both written and verbal Strong analytical, problem-solving, time management, planning and organizational skills

Created: 2026-04-07