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Delegated Credentialing Jobs in Florida (NOW HIRING)

Sage Dental

Credentialing Specialist

Boca Raton, FL · On-site +1

The Delegated Credentialing Specialist is responsible for organizing, maintaining, and verifying all aspects of the delegated credentialing process for General and Specialty Dentists. In all ...

Nourish

Credentialing / Enrollment Lead

Orlando, FL · Remote

... delegated arrangements. You will maintain a high bar for quality and compliance, ensure new ... Own complex credentialing programs end to end, including payer enrollments, workflows for ...

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Delegated Credentialing information

What is the difference between Delegated Credentialing vs Credentialing Specialist?

AspectDelegated CredentialingCredentialing Specialist
Required CredentialsHealthcare administration, compliance knowledge, industry certificationsHealthcare administration, certification in credentialing or related fields
Work EnvironmentHealthcare organizations, insurance companies, or credentialing firmsHospitals, clinics, insurance companies, or credentialing departments
Employer & Industry UsageUsed by healthcare providers to delegate credentialing tasksPerforms credentialing tasks under supervision or independently
Comparison FocusDelegates credentialing authority to third partiesManages credentialing processes directly

Delegated Credentialing involves healthcare organizations assigning credentialing authority to third-party entities, streamlining provider verification. Credentialing Specialists handle the verification process directly, ensuring providers meet all requirements. Both roles require healthcare industry knowledge, but Delegated Credentialing emphasizes delegation and oversight, while Credentialing Specialists focus on execution and verification.

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For Delegated Credentialing jobs in Florida, the most frequently searched job titles are:

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The top searched job categories for Delegated Credentialing jobs in Florida are:

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Cities in Florida with the most Delegated Credentialing job openings:

Delegated Credentialing jobs near you
Infographic showing various Delegated Credentialing job openings in Florida as of September 2026, with employment types broken down into 4% Locum Tenens, 2% As Needed, 64% Full Time, 12% Part Time, and 18% Contract. Highlights an 92% Physical, 1% Hybrid, and 7% Remote job distribution.

Credentialing Specialist

Sage Dental

Boca Raton, FL • On-site, Remote

Full-time

Re-posted 4 days ago

Sage Dental rating

6.2

Company rating: 6.2 out of 10

Based on 34 frontline employees who took The Breakroom Quiz

699th of 898 rated healthcare providers

Job description

Sage Dental Management is a leading, rapidly growing Dental Service Organization (DSO) committed to innovation, excellence, and patient-centered care.
Overview
Sage is looking for a Delegated Credentialing Specialist (Remote) to join our team! The Delegated Credentialing Specialist is responsible for organizing, maintaining, and verifying all aspects of the delegated credentialing process for General and Specialty Dentists. In all activities, they must comply with all legal and regulatory policies and procedures.
Responsibilities
  • Adhere to NCQA guidelines.
  • Audit Provider Licensure Files to NCQA guidelines.
  • Pull Monthly Delegated Verification Files in accordance with NCQA.
  • Knowledge of Delegated Verification Websites (ie. National Provider Data Base, etc.)
  • Understanding of Initial and Re-Credential Delegated files / processing.
  • Prepare and Present provider files for internal and external auditing.
  • Upload and update the system and / or software with new documents.
  • Request & Obtain any Licensure renewals.
  • Must be able to utilize the licensure portals.
  • Experience in Clearinghouse / Manual Education Verifications.
  • Experience in Manual Hospital Privileges Verifications.
  • Experience in Board Certification Verifications through the appropriate portals.
  • Strong understanding of the differences between similar credentials (ie. Malpractice, Diplomas, etc.)
  • Knowledge of what a Credentialing Committee consists of.
  • Coordinate, monitor, maintain and process all internal re-credentialing to NCQA guidelines.
  • Heavy Understanding of Attestation questions, actions, exclusions and explanations.
  • Ability to speak effectively with providers, educators and internal departments.
  • Assist offices and internal departments with credentialing issues.
  • Ability to multi-task in a fast-paced environment.
  • Work other projects as assigned.

Qualifications
  • High School Diploma required.
  • Minimum 2-3 years' experience in Healthcare Credentialing, Dental preferred.
  • Excellent verbal and written communication skills.
  • Well organized and detail-oriented with the ability to multi-task.
  • Proficiency with Microsoft Office products, including Word,Excel,Outlook, and Adobe required.
  • Must be able to function with minimal supervision and be able to prioritize all work tasks.
  • Insurance/Payer Application submission experience
  • Designated workspace with high-speed internet and access to hot spot if needed.

What Sage Offers
Be part of a purpose-driven organization transforming dental care. Collaborate with a passionate, innovative team. Access to cutting-edge technology and professional development resources. Competitive compensation and benefits

What Sage Dental employees say

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