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Caqh Jobs (NOW HIRING)

LBMC

Provider Enrollment Specialist

Brentwood, TN · On-site +1

Complete accurately CAQH credentialing process on new providers or groups. Follow-up with payers for effective dates, and status updates on a regular basis. Responsible for completing applications ...

OnSpot Dermatology

Credentialing Specialist

Largo, FL · On-site

$25/hr

Update and maintain provider information in CAQH, NPPES, and payer portals * Collaborate closely with the billing department to resolve credentialing-related issues impacting claims * Track and ...

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How much do caqh jobs pay per hour?

As of Jul 14, 2026, the average hourly pay for caqh in the United States is $24.36, according to ZipRecruiter salary data. Most workers in this role earn between $19.23 and $27.64 per hour, depending on experience, location, and employer.

What is the easiest healthcare job that pays a lot?

In healthcare, roles like medical assistants or phlebotomists are often considered easier to enter with shorter training periods and less complex responsibilities, while still offering competitive pay. These positions typically require certification and involve routine tasks such as patient interaction, specimen collection, and administrative duties. They can provide a good balance of earning potential and manageable workload for those starting in healthcare.

What kind of company is CAQH?

CAQH is a nonprofit organization that develops and implements solutions to streamline healthcare administration, such as credentialing and data sharing. Jobs at CAQH often involve technology, data management, and healthcare industry knowledge.

What are the key skills and qualifications needed to thrive in the Caqh position, and why are they important?

To succeed in a CAQH Administrator or Specialist role, you need a deep understanding of healthcare provider credentialing, strong data management skills, and familiarity with CAQH ProView. Experience working with credentialing software platforms and maintaining compliance with healthcare regulations is highly valued, and some roles may prefer certification in medical staff credentialing (e.g., CPCS). Attention to detail, organization, and effective communication are key soft skills for efficiently verifying provider data and collaborating with providers and payers. These capabilities ensure accuracy, regulatory compliance, and timely credentialing results in a fast-paced healthcare environment.

What is a CAQH job?

A CAQH job typically involves managing provider data, credentialing, and enrollment processes within healthcare organizations. CAQH (Council for Affordable Quality Healthcare) streamlines administrative tasks by maintaining a centralized database of provider information. Professionals in this role may work with healthcare providers, insurance companies, and other stakeholders to ensure compliance and accuracy in credentialing and data management. These positions require attention to detail, knowledge of healthcare regulations, and experience with CAQH platforms.

How do I get credentialed with CAQH?

To get credentialed with CAQH, healthcare providers or organizations must create an account on the CAQH ProView platform, complete the online application by providing professional, licensing, and practice information, and submit supporting documents. The process typically involves verifying credentials and may require periodic updates to maintain active status.

What are the typical responsibilities of someone working with CAQH in a healthcare organization?

If you work with CAQH in a healthcare setting, your primary responsibilities will include maintaining provider profiles within CAQH ProView, submitting and verifying credentialing documents, and ensuring all information is accurate and up to date for insurance payers. You will also coordinate with providers to collect needed documentation and work closely with insurance companies, credentialing teams, and compliance departments. A typical day may involve troubleshooting data discrepancies, managing deadlines, and communicating frequently via email or phone to resolve credentialing issues. This role is both detail-oriented and collaborative, playing a critical part in keeping healthcare operations running smoothly.

What does CAQH stand for?

CAQH stands for the Council for Affordable Quality Healthcare, a nonprofit organization that develops and maintains data standards and solutions to streamline healthcare provider credentialing and administrative processes. Professionals working in healthcare administration or provider credentialing often use CAQH resources and platforms to verify provider information efficiently.
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Provider Onboarding & Licensing Specialist

Provider Onboarding & Licensing Specialist

Tennessee Orthopaedic Alliance

Knoxville, TN • On-site

Part-time

Re-posted 11 hours ago

Tennessee Orthopaedic Alliance rating

7.3

Company rating: 7.3 out of 10

Based on 18 frontline employees who took The Breakroom Quiz

Job description

A position responsible for managing the initial onboarding and licensing functions for all new TOA providers, including physicians, advanced practice providers (APPs), and rehabilitation providers (PT/OT). This role ensures timely completion of licensure, malpractice enrollment, CAQH verification, and compliance requirements. The Provider Onboarding & Licensing Specialist manages license renewals, DEA renewals, CME compliance, and maintains accurate provider profiles in the credentialing database. This position plays a critical role in ensuring new providers can practice without delay and that existing providers remain in continuous compliance.

Responsibilities

  • Coordinates the onboarding of all new providers, including physicians, mid-level providers, and PT/OT staff.
  • Assists providers with obtaining Tennessee state licenses, including submission of applications and tracking of progress.
  • Initiates malpractice carrier enrollment for new providers; ensures coverage is in place prior to practice start.
  • Builds and maintains provider profiles in the centralized credentialing database (CMD).
  • Performs and documents 90-day CAQH re-attestations for all providers to maintain payer and compliance requirements.
  • Builds new provider NPPEs (National Provider Profile Enrollment System) sites as part of onboarding.
  • Manages provider license renewals, DEA renewals, and submission of primary applications to state and federal agencies.
  • Tracks and manages CME requirements for each provider; ensures compliance with CME requirements for licensing and DEA renewal.
  • Provides reporting on license/DEA renewal timelines, CME completion status, and CAQH re-attestation compliance.
  • Serves as a primary resource for providers regarding onboarding, licensing, and CME compliance.
  • Coordinates with credentialing, compliance, and payer enrollment teams to ensure alignment of provider information.
  • Performs other duties as assigned to support provider onboarding and compliance.

Requirements

Education: High school diploma or equivalent required. Associate’s or Bachelor’s degree in healthcare administration or related field preferred not required.

Experience: Minimum 3–5 years of experience in provider onboarding, licensing, or credentialing. Experience with CAQH, DEA renewals, and state licensure processes required. Familiarity with CMD or similar credentialing database strongly preferred.

Skills & Competencies: Strong knowledge of state licensure, DEA, CAQH, and CME compliance requirements. Excellent organizational skills and attention to detail, with ability to track multiple providers’ deadlines simultaneously. Strong communication skills to interface effectively with providers, licensing boards, malpractice carriers, and internal teams. Proficiency with credentialing/CAQH systems and Microsoft Office Suite. Ability to work independently and handle sensitive compliance information.

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