Credentialing Specialist, CVS Health

CVS Health

Location:
United States, Dallas

Category:
Office Administration

Contract Type:
Employment contract

Salary:

17.00 - 28.46 USD / Hour

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Job Description:

The Credentialing Specialist (Collaborative Physician Specialist) is responsible for overseeing and managing the administrative and compliance processes related to the collaboration agreements between Nurse Practitioners (NPs), Physician Assistants (PAs), and their designated supervising or collaborating physicians. This role ensures alignment with state laws, regulatory standards, and organizational policies while supporting timely onboarding, renewals, and effective communication between all stakeholders.

Job Responsibility:

Coordinate and maintain up-to-date collaborative practice agreements in accordance with applicable state and plan regulations
Act as a liaison between clinicians and collaborating physicians to facilitate timely agreement execution and renewals
Track and monitor active and pending collaborations, including expiration dates, required documentation, and state-specific requirements
Ensure compliance with all credentialing, licensing, and collaborative requirements through regular audits and reporting
Collaborate with credentialing, legal, and provider operations teams to resolve discrepancies or delays in collaboration processes
Maintain accurate and secure records of all collaborative agreements in internal systems (e.g., MD-Staff, PowerBi)
Provide timely updates and communication to clinicians and leadership on collaboration statuses
Stay current with changes in state laws and guidelines regarding supervision and collaboration practices for advanced practice providers

Requirements:

2+ years of experience in healthcare operations, credentialing, or provider coordination
Experience in Accounts Payable
Familiarity with regulatory standards (state medical boards, CMS) related to NP/PA collaboration
Strong organizational skills with keen attention to detail
Proficiency in systems such as MD-Staff, Google Suite, PowerBi, and Microsoft Office Suite
Excellent verbal and written communication skills
Ability to manage multiple deadlines and work independently in a fast-paced environment

Nice to have:

Experience with multi-state collaboration coordination
Understanding of payer compliance and credentialing timelines
Prior experience supporting provider relations or legal documentation workflows
Adapt to constant change in rules and regulations with minimal supervision
Meticulous/Conscientious when it comes to state/company compliance

What we offer:

Affordable medical plan options
401(k) plan with matching company contributions
Employee stock purchase plan
No-cost wellness screenings
Tobacco cessation and weight management programs
Confidential counseling and financial coaching
Paid time off
Flexible work schedules
Family leave
Dependent care resources
Colleague assistance programs
Tuition assistance
Retiree medical access

Additional Information:

Job Posted:
November 02, 2025

Expiration:
November 30, 2025

Employment Type:

Fulltime

Work Type:

Hybrid work

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Credentialing Specialist