Credentialing Specialist - Contractor

The Credentialing Specialist - Contractor supports departmental activities to ensure quality in conducting, maintaining, and communicating clinician credentialing and primary source verifications. Serves as a resource to, and collaborates with others to advance clinical quality and safety across the organization.  The Credentialing Specialist will be critical in both clinician satisfaction and ensuring our patients have access to high quality care when they need it. This is a contract role that will last for 5 months.

• Prompt and regular attendance at assigned work location.
• Ability to remain seated in a stationary position for prolonged periods.
• Requires eye-hand coordination and manual dexterity sufficient to operate keyboard, computer and other office-related equipment.
• No heavy lifting is expected, though occasional exertion of about 20 lbs. of force (e.g., lifting a computer / laptop) may be required.
• Ability to interact with leadership, employees, and members in an appropriate manner.

• Oversees initial credentialing process for eligible practitioners
• Determines applicant’s initial eligibility for Clinical Staff membership and privileges
• Analyzes credentialing applications and supporting documents for completeness and informs the clinician of the application status, including the need for any additional information
• Performs all primary source verifications required in accordance with regulatory requirements
• Compiles, evaluates, and presents the clinician-specific credentialing application data collected for review by the Credentialing Committee
• Collaborates with Medical Directors to develop and maintain criteria-based clinical privileging in accordance with organizational policies, state and federal regulatory requirements and accreditation standards

• Inspires trust and confidence among stakeholders through reliability, authenticity, and accountability
• Expresses thoughts clearly, concisely, and effectively both verbally and in writing. Ensures a free flow of information and communication upward, downward and across the organization by actively listening and encouraging the open expression of ideas and opinions.
• Displays a credible presence and positive image. Establishes productive, cooperative relationships with peers, management, and stakeholders both internal and external to the organization.
• Able to thrive in a fast-paced environment and able to quickly adapt to change
• Strong written and oral communication skills, able to interface effectively with the best medical practitioners in the nation
• Proficient in Google systems, including Google Sheets (Excel)
• Must be able to work independently with minimal supervision for 40 hours a week

• High school diploma or equivalent.
• 2 years credentialing experience. 
• More than 1 year credentialing experience meeting National Association of Quality Assurance (NCQA) accreditation standards

• Prompt and regular attendance at assigned work location.
• Ability to thrive in a fast-paced, high-intensity work environment.
• Ability to remain seated in a stationary position for prolonged periods.
• Requires eye-hand coordination and manual dexterity sufficient to operate keyboard, computer and other office-related equipment.
• No heavy lifting is expected, though occasional exertion of about 20 lbs. of force (e.g., lifting a computer / laptop) may be required.
• Ability to interact with leadership, employees, and members in an appropriate manner.

The United States new hire hourly pay rate target ranges for this full-time position are:

Zone A: $30.61 - $42.85

Zone B: $35.20 - $49.28

Zone C: $38.26 - $53.56

Zone D: $39.79 - $55.71

This range reflects the minimum and maximum target for new hire salaries for candidates based on their respective Zone. Below is additional information on Included Health's commitment to maintaining transparent and equitable compensation practices across our distinct geographic zones.

Starting base salary for the successful candidate will depend on several job-related factors, unique to each candidate, which may include, but not limited to, education; training; skill set; years and depth of experience; certifications and licensure; business needs; internal peer equity; organizational considerations; and alignment with geographic and market data. Compensation structures and ranges are tailored to each zone's unique market conditions to ensure that all employees receive fair and competitive compensation based on their roles and locations. Your Recruiter can share details of your geographic alignment upon inquiry.

In addition to receiving a competitive pay,  the compensation package may include, depending on the role, the following: 

Remote-first culture

401(k) savings plan through FidelityComprehensive medical, vision, and dental coverage through multiple medical plan options (including disability insurance)

Full suite of Included Health telemedicine (e.g. behavioral health, urgent care, etc.) and health care navigation products and services offered at no cost for employees and dependents 

Generous Paid Time Off ("PTO") and Discretionary Time Off (“DTO")

12 weeks of 100% Paid Parental leave

Up to $25,000 Fertility and Family Building Benefit Compassionate Leave (paid leave for employees who experience a failed pregnancy, surrogacy, adoption or fertility treatment) 

11 Holidays Paid with one Floating Paid Holiday

Work-From-Home reimbursement to support team collaboration and effective home office work 

24 hours of Paid Volunteer Time Off (“VTO”) Per Year to Volunteer with Charitable Organizations

Your recruiter will share more about the benefits package for your role during the hiring process.

About Included Health

Included Health is a new kind of healthcare company, delivering integrated virtual care and navigation. We’re on a mission to raise the standard of healthcare for everyone. We break down barriers to provide high-quality care for every person in every community — no matter where they are in their health journey or what type of care they need, from acute to chronic, behavioral to physical. We offer our members care guidance, advocacy, and access to personalized virtual and in-person care for everyday and urgent care, primary care, behavioral health, and specialty care. It’s all included. Learn more at includedhealth.com.

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Included Health is an Equal Opportunity Employer and considers applicants for employment without regard to race, color, religion, sex, orientation, national origin, age, disability, genetics or any other basis forbidden under federal, state, or local law. Included Health considers all qualified applicants in accordance with the San Francisco Fair Chance Ordinance.