Miami, FL · Remote
$64K - $85K/yr
Experience leading credentialing operations for a health plan, health system, provider organization, or credentials verification organization * Prior healthcare or insurance-related experience This ...
New
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Miami, FL · Remote
$64K - $85K/yr
Experience leading credentialing operations for a health plan, health system, provider organization, or credentials verification organization * Prior healthcare or insurance-related experience This ...
New
Fort Myers, FL · On-site
Conduct primary source verification of provider credentials in accordance with applicable standards and organizational policies. * Maintain accurate provider and clinical staff records in ...
New
Fort Myers, FL · On-site
Conduct primary source verification of provider credentials in accordance with applicable standards and organizational policies. * Maintain accurate provider and clinical staff records in ...
New
Fort Myers, FL · On-site
Conduct primary source verification of provider credentials in accordance with applicable standards and organizational policies. * Maintain accurate provider and clinical staff records in ...
Fort Myers, FL · On-site
Conduct primary source verification of provider credentials in accordance with applicable standards and organizational policies. * Maintain accurate provider and clinical staff records in ...
Boca Raton, FL · On-site +1
Knowledge of Delegated Verification Websites (ie. National Provider Data Base, etc ... What Sage Offers Be part of a purpose-driven organization transforming dental care. Collaborate ...
Boca Raton, FL · On-site +1
Knowledge of Delegated Verification Websites (ie. National Provider Data Base, etc ... What Sage Offers Be part of a purpose-driven organization transforming dental care. Collaborate ...
Miami, FL · On-site
$60 - $75/hr
The ideal candidate possesses strong organizational, communication, and problem‑solving skills ... Verify provider credentials through primary source verification, including licensure, education ...
New
Miami, FL · On-site
$60 - $75/hr
The ideal candidate possesses strong organizational, communication, and problem‑solving skills ... Verify provider credentials through primary source verification, including licensure, education ...
New
Miami, FL · On-site
... verification services to ensure timely and accurate credentialing information. * Maintain and update credentialing databases and records to ensure compliance with organizational policies and ...
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Miami, FL · On-site
... verification services to ensure timely and accurate credentialing information. * Maintain and update credentialing databases and records to ensure compliance with organizational policies and ...
$43.27 - $48.08/hr
... organization, or similar environment. * Strong understanding of the provider credentialing and recredentialing lifecycle. * Experience conducting primary source verification and ongoing credential ...
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$43.27 - $48.08/hr
... organization, or similar environment. * Strong understanding of the provider credentialing and recredentialing lifecycle. * Experience conducting primary source verification and ongoing credential ...
Obtains timely and accurate primary source verification for all credentialing functions. Maintains current databases for all providers. * Demonstrate skills in attention to detail, organization ...
Obtains timely and accurate primary source verification for all credentialing functions. Maintains current databases for all providers. * Demonstrate skills in attention to detail, organization ...
Plantation, FL · On-site
Obtains timely and accurate primary source verification for all credentialing functions. Maintains current databases for all providers. * Demonstrate skills in attention to detail, organization ...
Plantation, FL · On-site
Obtains timely and accurate primary source verification for all credentialing functions. Maintains current databases for all providers. * Demonstrate skills in attention to detail, organization ...
Be Seen First
Miami, FL · On-site
Excellent organizational and time management skills. * Effective communication skills, both written ... Verify and validate provider information, including licensure, certifications, and education.
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Be Seen First
Miami, FL · On-site
Excellent organizational and time management skills. * Effective communication skills, both written ... Verify and validate provider information, including licensure, certifications, and education.
Doral, FL · On-site
Conducts primary source verification for all credentialing and re-credentialing applications ... Strong organizational skills required. Ability to perform in a metrics-driven environment ...
Doral, FL · On-site
Conducts primary source verification for all credentialing and re-credentialing applications ... Strong organizational skills required. Ability to perform in a metrics-driven environment ...
Oakland Park, FL · On-site
$55 - $75/hr
Coordinate licensing, privileging, payer enrollment, primary source verifications, and facility ... Excellent organizational, communication, and follow-up skills. * Ability to manage multiple ...
New
Oakland Park, FL · On-site
$55 - $75/hr
Coordinate licensing, privileging, payer enrollment, primary source verifications, and facility ... Excellent organizational, communication, and follow-up skills. * Ability to manage multiple ...
New
Oakland Park, FL · On-site +1
Coordinate licensing, privileging, payer enrollment, primary source verifications, and facility ... Excellent organizational, communication, and follow-up skills. Ability to manage multiple providers ...
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Oakland Park, FL · On-site +1
Coordinate licensing, privileging, payer enrollment, primary source verifications, and facility ... Excellent organizational, communication, and follow-up skills. Ability to manage multiple providers ...
Odessa, FL · On-site
... organization * Experience with orthopedic, surgical, or multispecialty practices is a plus ... Primary source verification * Knowledge of CMS, Joint Commission, NCQA, and payer requirements
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Odessa, FL · On-site
... organization * Experience with orthopedic, surgical, or multispecialty practices is a plus ... Primary source verification * Knowledge of CMS, Joint Commission, NCQA, and payer requirements
Fort Myers, FL · On-site +1
$20.78 - $36.53/hr
... organizational requirements. * Manage provider participation to support timely onboarding and ... Obtain, verify, and maintain all required credentialing documentation, including licenses ...
Fort Myers, FL · On-site +1
$20.78 - $36.53/hr
... organizational requirements. * Manage provider participation to support timely onboarding and ... Obtain, verify, and maintain all required credentialing documentation, including licenses ...
Sarasota, FL · On-site
... verifications. * Completes payor enrollment credentialing and re-credentialing applications; monitors and follows up as needed, creates provider rosters and maintains providers and organization in ...
Sarasota, FL · On-site
... verifications. * Completes payor enrollment credentialing and re-credentialing applications; monitors and follows up as needed, creates provider rosters and maintains providers and organization in ...
Miami, FL · On-site
... verifications, licensure, insurance, and claims-related documentation * Manage an active caseload ... Ensure strict adherence to confidentiality requirements, organizational policies, and regulatory ...
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Miami, FL · On-site
... verifications, licensure, insurance, and claims-related documentation * Manage an active caseload ... Ensure strict adherence to confidentiality requirements, organizational policies, and regulatory ...
Processes request, investigation, verification, tracking and follow up of primary responses from ... Participates in professional organizations and/or other organizations addressing credentialing ...
Processes request, investigation, verification, tracking and follow up of primary responses from ... Participates in professional organizations and/or other organizations addressing credentialing ...
$17 - $23/hr
Generate and send verification letters needed for licensure * Complete all necessary and ... Organizational skills; ability to multi-task and manage priorities; meet critical deadlines * As a ...
$17 - $23/hr
Generate and send verification letters needed for licensure * Complete all necessary and ... Organizational skills; ability to multi-task and manage priorities; meet critical deadlines * As a ...
Tampa, FL · On-site
Processes request, investigation, verification, tracking and follow up of primary responses from ... Participates in professional organizations and/or other organizations addressing credentialing ...
Tampa, FL · On-site
Processes request, investigation, verification, tracking and follow up of primary responses from ... Participates in professional organizations and/or other organizations addressing credentialing ...
$10.24 - $11.95
2% of jobs
$11.95 - $13.67
13% of jobs
$14.53 is the 25th percentile. Wages below this are outliers.
$13.67 - $15.38
20% of jobs
The median wage is $16.88 / hr.
$15.38 - $17.10
17% of jobs
$17.10 - $18.81
15% of jobs
$20.10 is the 75th percentile. Wages above this are outliers.
$18.81 - $20.53
11% of jobs
$20.53 - $22.24
10% of jobs
$22.24 - $23.96
5% of jobs
$23.96 - $25.67
3% of jobs
$25.67 - $27.39
3% of jobs
$27.39 - $29.10
1% of jobs
$10
$18
$29
A Credentialing Verification Organization (CVO) job involves verifying the credentials, qualifications, and work history of healthcare providers on behalf of hospitals, insurance companies, or other healthcare entities. Professionals in this role ensure that providers meet licensing, certification, and regulatory requirements. They research, collect, and validate information from primary sources, such as medical boards and educational institutions. CVO jobs require attention to detail, knowledge of compliance standards, and strong organizational skills.
As a credentialing specialist or team member in a Credentialing Verification Organization, your typical day involves collecting, reviewing, and verifying professional licensure, education, certifications, and work history for healthcare providers or other professionals. You’ll regularly communicate with applicants, licensing boards, and employers to clarify or request additional information. Attention to detail is essential, as you’ll document findings in credentialing databases and prepare reports for review by clients or regulatory bodies. Collaboration with other team members and departments is also common to resolve complex cases or expedite urgent verifications, providing a dynamic and fast-paced work environment.
To thrive as a professional within a Credentialing Verification Organization, you need a strong attention to detail, in-depth understanding of compliance regulations, and experience in verifying professional credentials and backgrounds. Familiarity with credentialing management software, databases, and sometimes certifications such as Certified Provider Credentialing Specialist (CPCS) are commonly required. Excellent communication, time management, and problem-solving skills help manage complex cases and interactions with providers and stakeholders. These abilities are crucial to ensure compliance, maintain organizational reputation, and facilitate timely and accurate credential verification processes.
The most popular types of Credentialing Verification Organization jobs in Florida are:
For Credentialing Verification Organization jobs in Florida, the most frequently searched job titles are:
The top searched job categories for Credentialing Verification Organization jobs in Florida are:
$64K - $85K/yr
Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Posted 2 days ago
New
6.9
Based on 6 frontline employees who took The Breakroom Quiz
264th of 315 rated insurance
Hi, we're Oscar. We're hiring an Associate Manager, Credentialing Operations to join our Credentialing Team.
Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.
About the role:
The Associate Manager, Credentialing Operations leads a team responsible for accurate and timely provider credentialing and re-credentialing. This role oversees production, quality, service levels, and escalations and ensures compliance with applicable regulatory, accreditation, contractual, and internal requirements. The Associate Manager uses performance data and cross-functional partnerships to improve workflows, mitigate risk, strengthen provider experience, and maintain network readiness.
You will report into the Senior Manager, Provider Operations Credentialing.
Work Location: This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; or Texas. While your daily work will be completed from your home office, occasional travel may be required for team meetings and company events. #LI-Remote
Pay Transparency: The base pay for this role is: $64,832 - $85,092 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.
Responsibilities:
Requirements:
Bonus points:
This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here.
At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives.
Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.
Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.
Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team (accommodations@hioscar.com) to make the need for an accommodation known.
California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Privacy Policy.
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Sourced by ZipRecruiter
Insurance services
1,001 - 5,000 Employees
New York, NY, US
2012
