Credentialing Analyst Jobs (NOW HIRING)

Credentialing Clove Dental is seeking a meticulous and proactive Credentialing Analyst to own provider credentialing and payer enrollment across a growing, multi-location dental platform. This role is critical to ensuring every provider is fully credentialed and billable before they see patients — and that the company never loses revenue to enrollment gaps, lapsed licenses, or missed re-credentialing deadlines. Dental experience required and preferred large group experience in dental.

The ideal candidate has hands-on dental credentialing experience, is relentless about deadlines and follow-up with payers, and can build clean, audit-ready systems that scale as the company opens new offices. What success looks like at 90 days: 100% of provider licenses, DEA registrations, and malpractice coverage current — zero lapses New providers enrolled with all priority payers before or within target days of their start date Zero revenue lost to credentialing- or enrollment-related claim denials CAQH profiles 100% current, with re-attestations completed on schedule New office payer enrollments completed ahead of each location's launch date RCM and operations teams trust your credentialing pipeline as the source of truth You will own: Initial credentialing and re-credentialing for all providers Payer enrollment and re-enrollment across commercial PPO and Medicaid/state programs CAQH profile creation, maintenance, and re-attestation License, DEA, and malpractice/liability tracking and renewals Insurance payer portal access and management New office and location enrollment with payers Fee schedule and contracted rate tracking, and support for negotiations Credentialing records, database hygiene, and audit readiness Coordination with HR/onboarding and RCM Key Responsibilities Provider Credentialing & Enrollment Complete initial credentialing for new providers and enroll them with all relevant payers before or shortly after their start date Manage re-credentialing well ahead of expiration to prevent any lapse in billable status Create and maintain CAQH profiles and complete re-attestations on schedule Track and renew provider licenses, DEA registrations, and malpractice coverage with zero lapses Payer & Portal Management Maintain access to and actively manage insurance payer portals Submit, track, and follow up on enrollment applications until effective dates are confirmed Communicate confirmed provider effective dates to RCM and scheduling so billing is never disrupted Enroll new office locations with payers ahead of launch dates Fee Schedules & Contracted Rates Track contracted rates and fee schedules by payer and by location Support fee negotiations and maintain clear documentation of negotiated rates Flag underperforming contracts and out-of-date rates for review and renegotiation Records & Cross-Team Coordination Maintain accurate, audit-ready credentialing files and a clean central database Coordinate with HR and onboarding on new-hire timelines so credentialing starts early enough Partner with the RCM team to quickly resolve credentialing-related claim denials Provide regular status reporting on the credentialing pipeline and upcoming renewals Qualifications Experience in dental required Experience credentialing across multi-location dental groups (10–100+ offices) strongly preferred Hands-on experience with provider enrollment and payer credentialing Familiarity with CAQH, payer portals, and commercial and Medicaid enrollment processes Working knowledge of dental insurance, fee schedules, and contracted rates Open Dental familiarity preferred Strong organizational, tracking, and documentation skills Key Competencies Meticulous attention to detail and deadline tracking Persistent, professional follow-through with payers Process-oriented mindset with a focus on building systems that scale Clear communication with providers, HR, and the RCM team Ability to manage many concurrent applications across multiple locations Comfort with portals, spreadsheets, and adopting new tools and AI Why Clove Dental High-growth, multi-location dental platform Direct impact on provider billability, revenue capture, and how fast new offices can open Opportunity to build scalable credentialing systems as the company expands Collaborative, performance-driven culture