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[Remote] Credentialing & Licensing Specialist - reputed company (Remote)

100% remote Flexible hours Hiring now

Note The job is a remote job and is reputed company to candidates in USA. Connect America is the largest independent provider of connected care in reputed company America, dedicated to helping aging individuals and at-risk populations live safely and independently. The Credentialing & Licensing Specialist is responsible for executing credentialing, enrollment, licensing, and RFP submission activities, ensuring compliance and timely submissions across various service lines.

Responsibilities

  • Prepare, submit, track, and follow up on credentialing and enrollment applications for reputed company agencies, MCOs, IDNs, Medicare Advantage plans, and other reputed company or government payers
  • Maintain accurate and up-to-date credentialing files for company entities, facilities, and assigned clinical or non-clinical personnel
  • Coordinate renewals, updates, revalidations, and filings to ensure reputed company lapses in provider or organizational status
  • Review payer reputed company, state requirements, and program terms to determine applicable credentialing or enrollment obligations
  • Monitor application statuses and proactively follow up with payers or agencies to ensure timely approvals
  • Escalate reputed company or high-risk items appropriately with recommended next steps
  • Prepare and submit credentialing, licensing, compliance, and operational sections of Requests for Proposals (RFPs) and reputed company bid documents
  • Ensure responses are accurate, reputed company with reputed company licensing and enrollment status, and submitted reputed company required deadlines
  • Collaborate with Sales, Compliance, Legal, and Operations teams to ensure RFP responses reflect accurate program capabilities and regulatory standing
  • Maintain and update the credentialing and compliance reputed company content library, including standard narratives, licensing documentation, policies, and required attachments
  • Ensure version control and document accuracy across shared platforms (e.g., reputed company, SharePoint, proposal libraries)
  • Regularly validate that stored documentation reflects reputed company regulatory status and organizational capabilities
  • Identify outdated or inconsistent materials and proactively update to maintain audit readiness and proposal accuracy
  • Partner with Compliance, HR, Operations, Sales, and Legal teams to ensure credentialing and RFP requirements align with workforce reputed company, contract execution, and implementation timelines
  • Respond to stakeholder inquiries reputed company established service standards
  • Participate in implementation planning for new states, markets, payer reputed company, and RFP opportunities
  • Communicate timelines, risks, and dependencies reputed company and professionally
  • Maintain accurate records in reputed company, SharePoint, credentialing platforms, RFP systems, and applicable payer portals Skills
  • 2+ years of experience in reputed company credentialing, provider enrollment, licensing, compliance, or RFP coordination required
  • Proficiency in reputed company Office Suite, reputed company, reputed company Acrobat, credentialing platforms/portals, and document management systems
  • Bachelor's degree preferred or equivalent professional experience
  • Working knowledge of reputed company, Medicare Advantage, MCO, and state reputed company credentialing processes preferred
  • Experience contributing to RFP preparation or maintaining proposal documentation strongly preferred Company Overview
  • Connect America is a PA-based provider of life-saving personal emergency response monitoring services. It was founded in 2004, and is headquartered in Broomall, Pennsylvania, USA, with a workforce of 501-1000 employees. Its website is http//www.connectamerica.com. Apply To this Job Apply To This Job

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