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Caqh Remote Jobs in Ohio (NOW HIRING)

Caqh Remote information

What are the key skills and qualifications needed to thrive as a CAQH remote analyst?

To thrive as a CAQH Remote Analyst, you typically need a background in healthcare administration, data analysis, and familiarity with provider credentialing processes, often supported by a related degree or equivalent experience. Proficiency with CAQH ProView, Excel, data management systems, and sometimes knowledge of HIPAA compliance is essential. Strong attention to detail, organizational skills, and effective remote communication set top performers apart. These skills ensure accurate provider data management, regulatory compliance, and effective collaboration in a remote work environment.

What are some common challenges faced by professionals in remote CAQH roles, and how can they be managed?

Professionals working remotely in CAQH-related roles often face challenges such as navigating complex healthcare data, ensuring compliance with industry standards, and maintaining effective communication with team members. Managing these challenges involves staying organized, leveraging secure digital collaboration tools, and participating in regular virtual meetings to stay aligned with team goals. Proactively seeking training on CAQH processes and maintaining up-to-date knowledge of healthcare regulations can also help remote professionals excel in their roles.

What is a CAQH remote?

A CAQH remote job refers to a position with the Council for Affordable Quality Healthcare (CAQH) that allows employees to work from a location outside of the company's physical offices, typically from home. CAQH is a nonprofit alliance of health plans and related organizations, focused on streamlining healthcare administration through technology and data solutions. Remote roles at CAQH may include positions in project management, data analysis, IT, and customer support, among others. These jobs offer flexibility and the opportunity to contribute to healthcare industry improvements from anywhere with a reliable internet connection.

What is the difference between Caqh Remote vs Medical Biller?

AspectCaqh RemoteMedical Biller
CredentialsCAQH ProView, HIPAA trainingMedical billing certifications, HIPAA compliance
Work EnvironmentRemote, home-basedOffice or remote, healthcare facilities or billing companies
Industry UsageInsurance verification, credentialingBilling, coding, claims processing
Common Search IntentRemote credentialing, CAQH verificationMedical billing jobs, billing process

Both roles are integral to healthcare administration. Caqh Remote focuses on credentialing and verification via CAQH, often performed remotely. Medical Biller handles billing and claims processing, which can be remote or onsite. While they share some certifications and work environments, their primary functions differ, making each role distinct in healthcare operations.

Licensing and Credentialing Manager (Telemedicine)

Beacon Talent

Columbus, OH • Remote

$95K - $110K/yr

Full-time

PTO

Re-posted 10 days ago


Job description

LICENSING & CREDENTIALING MANAGER

Confidential (Venture-Backed Telehealth Company) · Operations · Remote · Full-time Stage: Series B · $95K–$110K + performance-based incentives


1 · ABOUT THE COMPANY

Our client is a venture-backed health-tech company modernizing one of the most outdated corners of post-acute care: getting essential medical equipment and supplies into patients' homes. They've built an AI-powered platform that brings ordering, telehealth, prescriptions, insurance, and fulfillment into a single experience. Fresh off a Series A and scaling quickly, they're expanding their clinical footprint across states.


2 · THE ROLE

As Licensing & Credentialing Manager, you'll own provider licensing and credentialing for our partner telehealth practices. As the company grows across states, your job is to make sure every clinician is licensed, credentialed, enrolled, and ready to see patients on time. You'll own the trackers, the deadlines, and the follow-up — and nothing lapses on your watch.


3 · WHAT YOU'LL DO

  • Run end-to-end credentialing and re-credentialing for telehealth clinicians — including CAQH and primary source verification — so every provider is cleared to deliver care without delay.
  • Manage multi-state licensing for our providers: applications, renewals, and tracking across boards, so the company can enter new states on schedule.
  • Own payer enrollment so providers go live with Medicare, Medicaid, and commercial payers before go-live — protecting revenue from day one.
  • Maintain audit-ready provider files and stay ahead of every expirable — licenses, DEA, certifications, NPIs — so nothing ever slips.
  • Build the trackers and systems that make credentialing repeatable, not a scramble, as volume grows.
  • Partner with Clinical Operations and Compliance to keep the growing provider network credentialed and compliant as the company scales.

4 · WHAT WE'RE LOOKING FOR

Must-Have

  • 5+ years in healthcare credentialing, licensing, or provider enrollment.
  • Hands-on experience credentialing and licensing providers (MDs, DOs, NPs, PAs, RNs), including CAQH and payer enrollment.
  • Exceptional organization and attention to detail across high volumes of applications, deadlines, and renewals.
  • A proactive communicator who follows through with providers, boards, and payers.
  • Comfort operating in a fast-paced, high-growth environment.

Nice to Have

  • Multi-state telehealth credentialing experience.
  • Familiarity with 1099 clinician models.
  • Experience with a headless EMR.

5 · WHO THRIVES HERE

This role is a great fit if you…

  • Optimize for results that matter and know when "done and correct" beats polish for its own sake.
  • Move fast without creating mess — speed paired with clarity is your default.
  • Fix the root cause when something breaks, building trackers and processes that outlast any single application.
  • Take ownership and go a step beyond what's asked, rather than waiting to be told.
  • Are serious about the work and easy to work with — driven without taking yourself too seriously.

7 · BENEFITS & PERKS

  • Fully remote
  • Unlimited PTO