Strategic Credentialing and Compliance Manager

Mindoula Health

Mindoula Health Managed Service Organization – Credentialing Specialist

Job Description

Mindoula Health’s Managed Service Organization is seeking a highly motivated and professional Credentialing Specialist responsible for streamlining, communicating, and facilitating the credentialing and re-credentialing of behavioral health providers with hospitals.

Location: This is a work-from-home position that requires a dedicated workspace without interruptions during work hours.

Hours: Work hours are Monday through Friday, from 8:00 AM to 5:00 PM EST.


  • Initiate, submit, and follow hospitals/facilities application processing until completion, ensuring providers are granted privileges.
  • Initiate, complete, and submit re-credentialing applications to hospitals/facilities for all providers.
  • Follow up with hospitals/facilities to ensure receipt and processing of credentialing applications.
  • Send notifications to hospitals/facilities regarding provider changes, including names, service locations, and addresses.
  • Collect and maintain copies of current state licenses, DEA certificates, malpractice coverage, and other required credentialing documents for all providers.
  • Maintain updated CAQH profiles for all providers.
  • Assist with enrolling providers with contracted payers, both Government and Commercial.
  • Work with multiple departments to resolve credentialing issues.
  • Maintain and update our credentialing database and tracking systems, including Modio, Monday, Sheets, etc.


  • High school diploma or equivalent required.
  • Associate’s degree preferred.
  • CPCS certification preferred.
  • Minimum 2 years of work experience in credentialing preferred.
  • Proficiency in Google Suite, Adobe, Zoom, Office, CAQH, and Chrome.
  • Preferred experience with UKG, Modio, Monday, RingCentral, Slack, Apple Products.
  • Above-average writing and verbal communication skills.
  • Detail-oriented with solid organization and time management skills. Must work quickly, efficiently, and independently.
  • Endurance and motivation to perform repeated tasks and respond quickly to requests for assistance.
  • Desire and flexibility to jump in on urgently requested team taskings.
  • Attend and actively contribute to scheduled meetings without distraction.
  • Passion and drive to make a positive impact on our team/company through collaboration, initiation, and pride in work outcomes.
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