Oregon Licensed Provider Credentialing Specialist

A company is looking for a Provider Credentialing Specialist (remote in Oregon).

Key Responsibilities

Coordinate and process all phases of initial credentialing, re-credentialing, and privileging for behavioral health providers

Conduct primary source verifications for licenses, certifications, and background checks

Maintain and update accurate provider information in credentialing databases

Required Qualifications

Two years' experience in provider credentialing, enrollment, or network management with a Medicaid or behavioral health organization

Strong understanding of Medicaid and OHA credentialing requirements

Demonstrated proficiency with credentialing software systems

Education - High School diploma or equivalent

Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Staff Management (CPMSM) preferred