Help keep patients safe and providers compliant from your home office. In this full-time credentialing role, you’ll support a growing senior-care organization by making sure every provider in the network meets strict quality and regulatory standards.
About Curana Health
Curana Health is on a mission to radically improve the health, happiness, and dignity of older adults. As a national leader in value-based care, Curana partners with senior living communities and skilled nursing facilities through on-site primary care, Accountable Care Organizations, and Medicare Advantage Special Needs Plans. Since 2021, they’ve rapidly expanded to serve 200,000+ seniors in 1,500+ communities across 32 states.
Schedule
- Position Type: Full-time, remote
- Location: United States (no visa sponsorship available)
- Department: Business Operations / Credentialing
- Work Style: Computer-based, cross-functional collaboration with Medical Directors and internal teams
What You’ll Do
- Assist with the coordination of the enterprise-wide credentialing process for practitioners and health delivery organizations in line with Curana policies and procedures.
- Maintain strict confidentiality regarding practitioner information, legal matters, privacy issues, and data integrity.
- Keep the credentialing software database accurate and up to date, ensuring all provider data is complete.
- Collect, analyze, and present provider-specific data for bi-monthly review by the Credentials Committee.
- Track inbound and outbound communication on behalf of Medical Directors and relay information to providers as needed.
- Communicate with healthcare practitioners to clarify questions, resolve discrepancies, and request missing documentation.
- Draft and distribute formal approval letters, requests for additional information, and termination notices based on Credentials Committee decisions.
- Compile and summarize provider responses so committee members can quickly understand issues and make informed decisions.
- Coordinate the preparation of bi-monthly Credentials Committee agendas and accurately record and maintain official meeting minutes.
- Review and process assigned NPDB Continuous Query reports, ensuring timely and appropriate follow-up.
What You Need
- High school diploma required; associate degree preferred.
- 2–5 years of credentialing experience with a hospital or insurance plan.
- Working knowledge of Joint Commission, NCQA, URAC, and HFAP standards.
- Certified Provider Credentialing Specialist (CPCS) credential preferred.
- Strong attention to detail and accuracy when working with sensitive provider data.
- Excellent written and verbal communication skills with a clear, concise style.
- Ability to manage multiple tasks, deadlines, and stakeholder requests in a remote environment.
- High level of professionalism, discretion, and commitment to compliance and quality.
Benefits
- Fully remote, full-time role supporting a high-impact senior-care organization.
- Direct influence on provider network quality and member safety.
- Opportunity to grow your credentialing career within a fast-growing, mission-driven company recognized on the Inc. 5000 list.
If you’re detail-driven, compliance minded, and ready to make an impact behind the scenes, this role is a strong next move.
Happy Hunting,
~Two Chicks…