Credentialing Specialist - Temporary Contract

Marathon Health is a leading provider of advanced primary care in the U.S., serving 2.5 million eligible patients through approximately 630 employer and union-sponsored clients. Our comprehensive services include advanced primary care, mental health, occupational health, musculoskeletal, and pharmacy services, delivered through our 680+ health centers across 41 states. We also offer virtual primary care and mental health services accessible in all 50 states. Transforming healthcare delivery with a patient-first approach, we prioritize convenient access to both in-person and virtual care, resulting in improved health outcomes and significant cost savings. Committed to inclusivity and collaboration, we foster a positive work environment and recruit exceptional talent to ensure expertise and compassion in healthcare delivery. Marathon has been recognized as a five-time Modern Healthcare Best Places to Work in Healthcare winner and a six-time Best in KLAS award winner for employer-sponsored healthcare services.

*This is a temporary contract position that will run from approximately mid-June 2025 to mid-September 2025.*

ABOUT THE JOB

The Credentialing Specialist is responsible for coordinating all aspects of the credentialing functions for Marathon Health including ensuring the timely and appropriate coordination, monitoring, and completion of the initial credentialing and re-credentialing verification processes for all contracted practitioners. 

ESSENTIAL DUTIES & RESPONSIBILITIES

• Coordinate the initial credentialing and recredentialing processes for all healthcare providers.
• Collect, review, and verify provider credentials, including education, training, licensure, certifications, and work history.
• Ensure timely and accurate submission of credentialing documentation within the credentialing software.
• Efficiently use the organization’s credentialing software to track and manage credentialing activities.
• Maintain accurate and up-to-date provider records within the credentialing system.
• Verify provider credentials through primary source verification (PSV) in accordance with organizational policies and regulatory requirements.
• Ensure all provider credentials are current and compliant with state, federal, and organizational standards.
• Collaborate with internal departments, such as Talent Acquisition and Operations, to ensure seamless onboarding and credentialing of providers.
• Serve as a point of contact for providers regarding credentialing status and requirements.
• Assist in preparing credentialing files for review by the credentialing committee.
• Participate in quality assurance activities related to the credentialing process to ensure continuous compliance and efficiency.
• Identify opportunities for process improvement within the credentialing function and suggest enhancements to the credentialing software or workflows.
• Stay informed about changes in credentialing regulations and standards, and update processes accordingly.
• Maintain complete and accurate records of all credentialing activities and documentation.
• Ensure that all documentation is stored securely and in compliance with organizational policies and regulations.
• Other projects, as assigned. 

QUALIFICATIONS

Bachelor’s degree in business administration or a health care-related discipline and minimum of 3+ years’ healthcare credentialing experience or equivalent combination of education and experience. CPCS or CPMSM certification preferred. 

• Knowledge of or familiarity with NCQA and AAAHC credentialing standards; Knowledge of or familiarity with laws and regulations affecting credentialing.

DESIRED ATTRIBUTES

• Ability to effectively prioritize and execute tasks on time in a fast-changing environment, comfort with, and prior exposure to, ambiguity in a business environment. 
• Solid interpersonal, collaborative, and relationship-building skills; ability to interact positively with teammates at various levels across the company and to foster a positive work environment. 
• Demonstrated time management skills and ability to handle multiple priorities and meet deadlines. 
• Solid problem-solving skills with the ability to work and think outside the box. 
• Demonstrated proactive behavior and a "can do" attitude; highly motivated, goal-oriented self-starter. 
• Strong communications skills including the ability to listen effectively to customers to gain an understanding of client/patient needs and the ability to communicate information clearly and effectively. 

Pay Range: $25.00-28.00/hr

The actual offer may vary dependent upon geographic location and the candidate’s years of experience and/or skill level.