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Added 2 mins ago
Manager, Actuary (Medicaid)
CareSource Management Services LLC
Remote, United States
Responsible for pricing, forecasting, reserving or other actuarial processes including development of key assumptions, as well as evaluation of financial experience and trend drivers
Added 2 mins ago
OJ
0.81 Elementary Paraprofessional - East Vincent and North Coventry Elementary
Owen J Roberts School District
Pottstown, PA
- $18 to $18.5 USD / hour
High School Degree required; **Bachelor's Degree, Associate's Degree or at least 28 college credits preferred.**
Added 2 mins ago
UH
Registered Nurse (RN-CN I), Surgical Oncology-9CCP, Full Time, Days, ONA
UC Health
Cincinnati, OH
- Full-time
Engages in population appropriate communication. Has knowledge of growth and development milestones and tasks. Gives clear instructions to patients/family regarding treatment. Involves…
Added 3 mins ago
SL
Management Training Program
Stew Leonard's
Danbury, CT
- $19.3 to $25.5 USD / hour
Stew Leonard’s Management Development for College Graduates program
Added 3 mins ago
Sr. Buyer–Ready-to-Wear- A New Day Wovens
Target Enterprise Inc
Minneapolis, MN
…and/or category mangers and vendors will help guide product development as you source appropriately for your category. You will interact with Associate Buyers, Senior Merchandise…
Added 4 mins ago
Director Workforce Management-Service Experience
Elevance Health
Saint Louis, MO
+ Directs development and execution of organizational forecasts and capacity planning in a high volatility contact center environment, accounting for unpredictable, real-time fluctuations…
Added 5 mins ago
Graduate Development Program, Associate Engineer, Electrical Planning and Design
natgridProd
Syracuse, NY · Buffalo, NY · Albany, NY
Are you ready to start your electrical engineering career and help shape the future of the electric grid? As an Associate Engineer in Electrical Planning and Design, you’ll support projects…
Added 5 mins ago
Graduate Development Program, Associate Specialist, Customer Energy Integration
natgridProd
Northboro, MA
Are you interested in clean energy, data, customer support, and solving problems that make a real impact? As an Associate Specialist on the Customer Energy Integration team, you’ll help…
Added 5 mins ago
Graduate Development Program, Associate Product Manager, US Electric IT
natgridProd
Syracuse, NY · Waltham, MA
Are you ready to help shape the future of electric asset management? As an Associate Product Manager in US Electric IT team, you’ll support the STREAMS program, a strategic transformation…
Added 5 mins ago
Graduate Development Program, Associate Business Analyst, Business Development
natgridProd
Waltham, MA
Are you ready to dive into the world of business analysis and strategy in the electric transmission sector? As an Associate Business Analyst in Transmission Business Development, you’ll…
Added 5 mins ago
Graduate Development Program, Associate Technology Engineer, Technology Engineering
natgridProd
Marlboro, MA · Waltham, MA
…help create a better digital experience for employees? As an Associate Technology Engineer on the Technology Engineering team, you’ll help design, configure, test, and improve the…
Added 5 mins ago
Graduate Development Program, Associate Vendor Analyst, IT Digital Contracts
natgridProd
Waltham, MA
Are you interested in technology, business relationships, and the people who help bring innovation to life? As an Associate Vendor Analyst on the IT & Digital Contracts team, you’ll help…
Added 5 mins ago
Graduate Development Program, Associate Technology Engineer, Technology Engineering
natgridProd
Northboro, MA · Buffalo, NY · Syracuse, NY · Waltham, MA
Are you ready to build technology that supports the future of energy? As an Associate Technology Engineer on the Technology Engineering team, you’ll help develop data and AI solutions that…
Added 5 mins ago
Graduate Development Program, Associate Supervisor, Electric Operations
natgridProd
Buffalo, NY
The Associate Supervisor role follows a structured, multi-year development plan that gradually builds your operational knowledge, leadership skills, and readiness for frontline supervision.
Added 5 mins ago
Graduate Development Program, Associate Supervisor, Electric Operations
natgridProd
Liverpool, NY
The Associate Supervisor role follows a structured, multi-year development plan that gradually builds your operational knowledge, leadership skills, and readiness for frontline supervision.
Added 5 mins ago
Graduate Development Program, Associate Supervisor, Electric Operations
natgridProd
Albany, NY
The Associate Supervisor role follows a structured, multi-year development plan that gradually builds your operational knowledge, leadership skills, and readiness for frontline supervision.
Added 5 mins ago
Graduate Development Program, Associate Analyst, Electric Customer Metering
natgridProd
North Andover, MA · Waltham, MA · Northboro, MA · Hopedale, MA · Worcester, MA
Interested in using data, analytics, and emerging technologies to help shape the future of electric operations? As an Associate Analyst on the Electric Customer Metering team, you'll…
Added 5 mins ago
Graduate Development Program, Associate Data Analyst, Substation Engineering
natgridProd
Northboro, MA
Ready to launch your career using data to support engineering projects that power communities? As an Associate Data Analyst on the Substation Engineering team, you'll provide reporting,…
Added 5 mins ago
Graduate Development Program, Associate Analyst, New England Finance
natgridProd
Waltham, MA
Do you enjoy solving problems, working with data, and uncovering insights that drive business decisions? As an Associate Analyst, you'll play a key role in supporting the New England…
Added 5 mins ago
Graduate Development Program, Associate Engineer, Asset Strategy
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Northboro, MA
Interested in using data and engineering to help shape the future of the electric grid? As an Associate Engineer on National Grid's Asset Strategy team, you'll help identify where and how…
Added 5 mins ago
Graduate Development Program, Associate Category Buyer, Procurement
natgridProd
Albany, NY · Hicksville, NY · Syracuse, NY · Brooklyn, NY · Waltham, MA
As the Associate Category Buyer, you will be responsible for supporting National Grid’s sourcing activities for US Procurement. You'll be an integral member of the team and deliver…
Added 5 mins ago
Graduate Development Program, Associate Analyst, Technology Security
natgridProd
Brooklyn, NY · Syracuse, NY · Waltham, MA
Are you ready to start your career in cybersecurity and help protect critical energy infrastructure? As an Associate Analyst on the Technology Security team, you’ll support cybersecurity…
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Graduate Development Program, Associate Analyst, New York Finance & Regulatory
natgridProd
Brooklyn, NY
Ready to launch your career at the intersection of finance, regulation, and the energy transition? As an Associate Analyst on our New York Finance & Regulatory team, you'll help analyze…
Added 5 mins ago
Graduate Development Program, Associate Engineer, Transmission & Distribution Line Standards
natgridProd
Northboro, MA
Interested in helping shape the standards that power the electric grid? As an Associate Engineer, you'll work alongside experienced engineers and industry experts to develop and maintain…
Added 5 mins ago
Graduate Development Program, Associate Engineer, Software Engineering
natgridProd
Syracuse, NY · Brooklyn, NY · Waltham, MA
Are you ready to build software that helps support National Grid’s Gas business? As an Associate Software Engineer, you’ll join the team responsible for the development and support of the…

Dane Street, LLC

Credentialing Supervisor

Remote, United States

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Job details

Posting language: English
Posted: Oct 19, 2026

Original job description

JOB SUMMARY

The Credentialing Supervisor exists to protect patient safety and revenue flow by ensuring all healthcare providers meet rigorous compliance, state, and regulatory standards. Operating at the intersection of clinical compliance and revenue operations, this role directly accelerates provider onboarding, prevents billing delays, and mitigates legal risk. By reviewing credentials, maintaining audit-ready records, and liaising between providers and internal teams, the Specialist ensures seamless managed care enrollment. Ultimately, this position maintains the organization's operational integrity and high standard of care.

Mission, Culture & Values At Dane Street, we believe exceptional employee experiences create exceptional client experiences. Our culture is built on collaboration, continuous improvement, accountability, and care.

We care for our customers, we care for our employees, and we care for one another. Every team member plays an important role in creating an environment where people feel respected, supported, empowered to grow, and inspired to do meaningful work.

What You’ll Do Initial Credentialing and Recredentialing of Reviewers

Enters reviewer application data, performs online searches of reviewers, and conducts primary source verification of reviewer board certifications, licenses, background checks, and malpractice checks. Uploads documents to the electronic reviewer file, produces judgments page to include comments from the Medical Director. Applies client Do Not Use status as required.
Communicates the application status with the operations team, including when an application is denied by the Medical Director.

Updating Expired Licenses, Board Certifications, and Workers’ Compensation Registration

Reviews licenses, certifications, and registrations for expiration status.

Reactivating, Deactivating, Do Not Use, Reviewer Contact Data, and W9 Requests

Obtains W-9 documents in response to address changes.
Clones profiles in the event of a fundamental identifying data change.
Removes reviewers from the panel based on client or Operations department requests.

Editing Fee Schedules

Performs data entry of new fees or updated fees.
Obtains new fee agreements as appropriate.

Participation on the Quality Management Committee

Participates in the Quality Management Committee meetings.

Assist Dane Street Team Members with Credentialing Content

Provides credentialing-related advice to leadership and for contracting and Operations functions.

Functional Supervision of Credentialing Specialists

Coordinates the day-to-day assignments and activities of the Credentialing team members, including training and instruction.

Other duties

What Makes This Role Successful:

Operating with a Quality & Compliance First Mindset: Prioritizing zero-compromise reviewer compliance and audit readiness. You proactively safeguard patient safety and client trust by ensuring 100% accuracy in primary source verifications, licensure updates, and Quality Management Committee reporting.
Accelerating Revenue Operations & Onboarding: Driving speed-to-panel without sacrificing regulatory integrity. You streamline intake and verification processes to eliminate onboarding bottlenecks, ensuring reviewers are active and billable as quickly as possible.
Fostering Team Accountability & Growth: Coaching and functionally supervising Credentialing Specialists with clarity, empathy, and constructive feedback. You build an empowered, highly efficient team that lives Dane Street’s culture of caring for one another and striving for continuous improvement.
Bridging Cross-Functional Collaboration: Serving as a trusted subject-matter expert for Medical Directors, Operations, Legal, and Contracting. You communicate credentialing statuses, denials, and Do Not Use (DNU) flags transparently to keep all stakeholders aligned.
Thinking Beyond the Task: Continuously evaluating day-to-day credentialing workflows, identifying operational friction points, and implementing standardizations that improve quality, accuracy, and cycle times across the panel.

What Your First 90 Days May Look Like:

First 30 Days (Learn & Audit): Master systems, shadow specialists, build cross-functional relationships with Operations and Medical Directors, and audit current credentialing logs to establish operational baselines.
First 31–60 Days (Lead & Standardize): Take full ownership of daily team coordination, actively participate in Quality Management Committee meetings, and tighten tracking for expiring licenses and fee schedule updates.
First 61–90 Days (Optimize & Scale): Implement process improvements to reduce reviewer onboarding cycle times, establish team training guides, and ensure all electronic reviewer files are 100% audit-ready.

EDUCATION/CREDENTIALS:

An Associate’s Degree or Bachelor’s Degree is preferred.

Must Haves:

Business experience in a healthcare and/or insurance setting is preferred. Credentialing experience is a must.

Preferred Qualifications:

Present exceptional communication skills with a clear understanding of company business lines.
The ability to apply critical thinking, manage time efficiently and meet specific deadlines.
Computer literacy and typing skills are essential.

WORKING CONDITIONS/PHYSICAL DEMANDS:

Any lifting, bending, traveling, etc. required to do the job duties listed above. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this role. Examples:

Prolonged periods sitting or remaining stationary at a desk and working on a computer.
Constant operation of a computer, keyboard, mouse, and other digital productivity tools.
Close visual acuity required to view computer screens, analyze data, and read extensive digital documentation.
Frequent communication with team members, leadership, and external partners via email, chat, phone, and video conferencing platforms.
Occasional moving or positioning of office equipment or files weighing up to 10–15 pounds.

Why Join Dane Street?

Collaborative remote culture
Professional growth opportunities
Meaningful work supporting the healthcare industry
Comprehensive benefits
Great Place to Work Certified since 2021
Commitment to employee development

WORK FROM HOME TECHNICAL REQUIREMENTS:

Supply and support their own internet services. Maintaining an uninterrupted internet connection is a requirement of all work from home position.

Equal Opportunity Statement:

At Dane Street, caring for people is at the heart of what we do. We are committed to creating an inclusive workplace where every employee feels respected, valued, and empowered to contribute. We provide equal employment opportunities to all applicants and employees and make employment decisions based on qualifications, merit, business needs, and without regard to race, color, religion, sexual orientation, gender identity or expression, national origin, age, disability, veteran status, or any other characteristic protected by applicable federal, state, or local law.

This job description is subject to change at any time.

Join our team at Dane Street and enjoy a comprehensive benefits package designed to support your well-being and peace of mind. We offer a range of benefits including medical, dental, and vision coverage for you and your family. Additionally, we offer voluntary life insurance options for you, your spouse, and your children. We also offer other voluntary benefits which include hospital indemnity, critical illness, accident indemnity, and pet insurance plans. Employees receive basic life insurance, short-term disability, and long-term disability coverage at no cost. Our generous paid time off policy ensures you have time to relax and recharge, while our 401k plan with a company match helps you plan for your future. Apple equipment and a media stipend are provided for remote workspace.

ABOUT DANE STREET:

A fast-paced, Inc. 500 Company with a high-performance culture, is seeking insightful forward-thinking professionals. We process over 200,000 insurance claims annually for leading national and regional Workers’ Compensation, Disability, Auto, and Group Health Carriers, Third-Party Administrators, Managed Care Organizations, Employers, and Pharmacy Benefit Managers. We provide customized Independent Medical Exams and Peer Review programs that assist our clients in reaching the appropriate medical determination as part of the claims management process.

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More about this job

Skills

Regulatory compliance
Onboarding
Editing
Data entry
Quality assurance procedures
Prioritization
Reporting
Coaching
Process improvement
Collaboration
Train guides
Communication skills
Computer skills
Documentation
Leadership
Office equipment

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