Credentialing Specialist I

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.Position Purpose: Perform credentialing and related activities based on plan specificationsPerform credentialing and re-credentialing activities according to plan specifications and in compliance with NCQA standardsCommunicate with professionalism with physicians, office managers, providers, and other third parties to secure needed informationGather information for Credentialing Committee meetingsProcess, track and file credentialing applications within established standardsGenerate and utilize reporting to support business functionsAbility to thrive in a fast-paced production environment while maintaining qualityEducation/Experience: Associate’s degree, or high school diploma/equivalent and 1+ years of data entry, customer service, medical office, provider data management, credentialing or healthcare operations (i.e. claims processing, billing, provider relations or contracting) experience, preferably in a managed care or insurance environment.Pay Range: $19.43 - $32.98 per hourCentene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

Created: 2026-03-31