Senior Credentialing Specialist

Job Description

Job Description

Who we are :

At Better Life Partners, we provide what it takes to heal from addiction. Wherever. Whenever.

We work alongside community-based organizations to meet our members where they are, no matter what recovery looks like to them. By combining virtual and in-person counseling, community support, and access to life-saving medication, we help people move beyond addiction to find belonging, love, and purpose.

If you’re looking to roll up your sleeves and meet hard challenges head-on, then we’re looking for you.

The role :

The Senior Credentialing Specialist plays a critical role in overseeing provider credentialing, licensure, roster maintenance, and health plan enrollment. Reporting to the VP of Revenue Cycle Management, this role leads credentialing support staff and ensures providers are fully credentialed, enrolled with payers, and compliant with licensing requirements. The position also ensures accurate and timely entry of provider data into the EMR and billing systems, supporting operational efficiency and revenue cycle accuracy.

Unless otherwise specified, this position is remote (work from home) with expectation of attending team meetings quarterly. Candidates must reside in one of the following states : Maine, Maryland, Massachusetts, New Hampshire, New Jersey, New York, North Carolina, Pennsylvania, Rhode Island, Vermont, or Connecticut.

What you will do :

• Credentialing, Licensure, and Roster Maintenance
• Lead and supervise credentialing support staff, ensuring quality, accuracy, and timely processing of credentialing and enrollment tasks
• Oversee provider credentialing, licensure, and internal enrollment with Medicare, Medicaid, Managed Care, and Commercial Plans
• Enter, update, and maintain provider data in the EMR and billing systems to ensure accurate records for credentialing, billing, and operational purposes
• Maintain provider rosters, monitor license and certification renewals, and ensure compliance with regulatory and internal standards
• Resolve credentialing and licensure issues, escalating potential delays to leadership as needed
• Facilitate multi-state licensure and DEA registrations, ensuring smooth onboarding and cross-state compliance
• Serve as the primary point of contact for providers, clinical leadership, and state licensing boards regarding credentialing and enrollment matters

You are a good fit if you have :

It will also be great if you have :

Work location requirements :

When working from home, the requirements include :

The actual compensation offered within the range, along with title and level, will be dependent on a variety of factors including, but not limited to, relevant experience, qualifications, skills, level offered, business requirements, and performance expectations.

In addition to a competitive compensation package, we’re offering the chance to be the change you wish to see in your community. Help us work toward a future where everyone can have a healthy life filled with belonging, love, and purpose.

We’re a recovery-friendly workplace that values family life, diversity, equity, and inclusion.

We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.