Contracting and Credentialing Associate – Non-US

Autism Diagnosis Group

Contracting & Credentialing Associate managing healthcare provider enrollment and credentialing processes for remote telehealth providers. Ensuring compliance and efficiency in a fast-growing healthcare company.

Posted 7/18/2026full-timeRemote • 🌎 Anywhere in the WorldJuniorMid-Level💰 $600 - $900 per monthWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in managing credentialing and re-credentialing processes for clinical providers, ensuring compliance with NCQA standards and HIPAA regulations. Proficient in primary source verification and maintaining accurate provider profiles in CAQH and other relevant systems.

Highest-signal resume keywords

Provider Credentialing ManagementCAQH ProficiencyPrimary Source VerificationAttention to DetailExcellent Communication Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Credentialing ProcessesPayer EnrollmentProvider RelationsMedical Licensing KnowledgeSpreadsheet SkillsData AuditingNetwork Adequacy AppealsProvider Enrollment ApplicationsNPI RegistriesBehavioral Health Networks

Soft Skills

Attention to DetailWritten CommunicationVerbal Communication

Tools & Technologies

CAQHExcelGoogle SheetsPECOSState Medicaid Portals

Certifications & Qualifications

Certified Provider Credentialing Specialist (CPCS)

Industry Keywords

NCQA StandardsURAC GuidelinesHIPAA RegulationsTelehealth CredentialingProvider Profiles

About the role

Key responsibilities & impact

Manage end-to-end credentialing and re-credentialing processes for Clinical Psychologists (PsyD/PhD), therapists (LCSWs, LPCs, LMHCs) and other remote clinical providers
Maintain and audit all provider profiles in CAQH, ensuring information is current, attested, and fully compliant
Perform primary source verifications of provider licenses, certifications, education, and malpractice insurance history
Maintain secure, centralized physical and digital provider credentialing files, fee schedules, and databases
Prepare, submit, and track provider enrollment applications with payers
Compile and distribute monthly provider rosters to active insurance plans to ensure payer directories remain accurate
Identify and resolve provider-level NPI, taxonomy, or enrollment errors that cause clearinghouse or payer-level claim rejections
Actively track credentialing cycle times and report on application statuses across our active expansion pipeline
Monitor contracting pipelines, ensuring group contract addendums and provider agreements are executed correctly
Support the operations team by gathering data and preparing applications to challenge commercial panel closures (network adequacy appeals)
Regularly audit payer directories to ensure Josi Health providers are visible and active
Monitor licensure and certification expiration dates (e.g., state medical licenses, DEA, malpractice) and send timely renewal alerts to providers
Collaborate closely with recruiting and clinical teams to coordinate the onboarding schedule of incoming providers
Adhere strictly to NCQA standards, URAC guidelines, and HIPAA regulations regarding data security and privacy
Provide clear, professional updates to providers on their credentialing status, making document retrieval as painless as possible

Requirements

What you’ll need

2+ years of healthcare experience specializing in provider credentialing, payer enrollment, or provider relations
Highly proficient with CAQH
Working knowledge of medical licensing structures (e.g., PsyPact), NPI registries (NPPES), and primary source verification standards
Obsessive attention to detail – a missed box or expired license can disrupt operations; you double-check everything
Excellent written and verbal English communication skills; comfortable reaching out to busy providers and navigating complex payer customer service lines
Strong spreadsheet skills (Excel/Google Sheets) for tracking active pipelines and provider cohorts
Reliable remote work setup with backup power and high-speed internet (aligned with EST hours)
Experience credentialing remote/telehealth providers across multiple states (Preferred)
Familiarity with NCQA credentialing standards, PECOS, and various state Medicaid portals (Preferred)
Experience in behavioral health networks (Preferred)
Certified Provider Credentialing Specialist (CPCS) certification (Preferred).

Benefits

Comp & perks

Fully remote – work from anywhere outside the US
Competitive monthly compensation in USD
Direct ownership of a vital operational pipeline in a fast-scaling startup
Support from a collaborative, tech-forward administrative team