To ensure timely provider enrollment and compliance, the full-time remote Licensing and Credentialing Specialist will manage end-to-end payer enrollment activities, support provider licensing operations, and maintain accurate provider data across various platforms. Key Responsibilities Own the end-to-end payer enrollment process for new and existing providers across commercial, Medicare, and Medicaid health plans Serve as the primary contact with health plans and internal stakeholders to resolve enrollment issues and ensure timely provider participation Conduct routine audits of provider enrollment and credentialing files to ensure compliance with NCQA, CMS, and payer-specific requirements Required Qualifications Bachelor's Degree in Healthcare Administration or a related field 3+ years of experience in provider payer enrollment and credentialing Experience managing provider enrollments with commercial, Medicare, and Medicaid payers Working knowledge of CAQH, payer portals, and provider credentialing systems Understanding of NCQA, CMS, state licensing, and payer credentialing requirements