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Caqh Jobs in Tennessee (NOW HIRING)

AP Health

Enrollments Specialist

Nashville, TN · Hybrid

Manage providers CAQH profiles through employee lifecycle * Assist in establishing Revenue Cycle SOPs and data workflows, providing feedback on enhancements for internal software and external ...

Kyo

Credentialing Specialist

Nashville, TN

$27.88 - $31.25/hr

Inputing/Updating provider credential databases CAQH and NPPES * Ongoing monitoring of clinical staff's credentials to ensure licenses and certifications are current and active * Working closely with ...

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How much do caqh jobs pay per hour?

As of Sep 1, 2026, the average hourly pay for caqh in Tennessee is $22.11, according to ZipRecruiter salary data. Most workers in this role earn between $17.45 and $25.10 per hour, depending on experience, location, and employer.

What is a CAQH?

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.

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 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 are the most commonly searched types of Caqh jobs in Tennessee?

The most popular types of Caqh jobs in Tennessee are:

What are popular job titles related to Caqh jobs in Tennessee?

For Caqh jobs in Tennessee, the most frequently searched job titles are:

What job categories do people searching Caqh jobs in Tennessee look for?

The top searched job categories for Caqh jobs in Tennessee are:

What cities in Tennessee are hiring for Caqh jobs?

Cities in Tennessee with the most Caqh job openings:

Caqh jobs near you
Infographic showing various Caqh job openings in Tennessee as of August 2026, with employment types broken down into 1% Locum Tenens, 1% As Needed, 80% Full Time, 11% Part Time, 1% Temporary, and 6% Contract. Highlights an 76% Physical, 4% Hybrid, and 20% Remote job distribution, with an average salary of $45,984 per year, or $22.1 per hour.

Provider Onboarding & Licensing Specialist

Knoxville, TN • On-site

Tennessee Orthopaedic Alliance, PA
See more jobs at Tennessee Orthopaedic Alliance, PAexternal

Full-time

Re-posted 19 days ago

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.
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.

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