Senior Credentialer

Porter Cares, Inc.

$85K — $95K *
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • 7+ years clinical credentialing experience in a healthcare-related setting
  • Strong grasp of the provider credentialing lifecycle including primary source verification
  • Experience with a variety of healthcare professionals such as Nurse Practitioners and Registered Nurses
  • Knowledge of healthcare licensing and certification requirements
  • Familiarity with credentialing databases and payer processes is a plus
  • Exceptional attention to detail and accuracy with sensitive information
  • Strong communication skills, both written and verbal.

Responsibilities

  • Oversee the full lifecycle of clinical credentialing for healthcare providers
  • Verify provider qualifications including licenses and certifications
  • Conduct primary source verification and maintain audit-ready credentialing files
  • Monitor and manage time-sensitive provider credentials to ensure compliance
  • Track and initiate expiration renewal processes proactively
  • Identify and resolve credentialing discrepancies and compliance issues
  • Develop and improve credentialing processes and standard operating procedures.

Benefits

  • Comprehensive medical, dental, and vision coverage within 30 days of hire
  • Paid Time Off including vacation and sick leave
  • Paid holidays
  • Opportunities for professional growth
Full Job Description
Position Overview

We are seeking a Senior Clinical Credentialer to take a leading role in managing and overseeing Porter's clinical credentialing operations. This position will be responsible for ensuring that healthcare providers meet all applicable credentialing, licensing, regulatory, and compliance requirements before and throughout their engagement with Porter.

The Senior Clinical Credentialer will manage the end-to-end credentialing and recredentialing process for a diverse population of healthcare professionals, including Nurse Practitioners, Registered Nurses, Licensed Practical Nurses, and other clinical providers as needed. This individual will serve as a subject-matter expert on credentialing requirements, identify potential compliance issues, and work proactively to ensure providers remain fully credentialed and eligible to deliver care.

In addition to credentialing responsibilities, this role will partner closely with Clinical Operations, Human Resources, Compliance, and other internal teams to support a seamless provider onboarding experience. The Senior Clinical Credentialer will help develop and improve credentialing workflows, maintain accurate provider records, monitor expirables, and ensure documentation is complete, accurate, and audit-ready.

The ideal candidate is highly organized, self-motivated, and comfortable working independently in a fast-paced healthcare environment. You have strong knowledge of clinical credentialing standards and processes, exceptional attention to detail, and the ability to manage multiple providers and deadlines simultaneously.
What You'll Do
• Own and manage the full lifecycle of clinical credentialingfor Porter's clinical workforce.
• Verify provider qualifications, including licenses, certifications, education, training, work history, malpractice coverage, and other required credentials.
• Conduct primary source verification and maintain accurate, complete, and audit-ready provider credentialing files.
• Manage credentialing requirements for Nurse Practitioners, Registered Nurses, Licensed Practical Nurses, and other clinical professionals.
• Monitor provider licenses, certifications, registrations, malpractice insurance, and other time-sensitive credentials to ensure compliance with applicable requirements.
• Proactively track expirables and initiate renewal processes well in advance of expiration dates.
• Identify and resolve credentialing discrepancies, gaps, and compliance issues, escalating concerns when appropriate.
• Coordinate provider enrollment and credentialing activities with health plans, payers, healthcare organizations, and other external partners as needed.
• Guide clinical providers through credentialing, onboarding, and related compliance requirements, serving as a knowledgeable resource throughout the process.
• Partner with Clinical Operations, HR, Compliance, and leadership to ensure providers are appropriately credentialed and cleared before providing patient care.
• Maintain accurate provider information and credentialing documentation within internal systems and databases.
• Develop, document, and continuously improve credentialing workflows, processes, checklists, and standard operating procedures.
• Monitor credentialing timelines and performance metrics to ensure requirements and deadlines are consistently met.
• Support internal and external audits by maintaining organized, accurate, and readily accessible credentialing documentation.
• Stay current on applicable healthcare regulations, credentialing standards, payer requirements, and state-specific licensing requirements.
• Identify opportunities to improve efficiency, reduce credentialing delays, and enhance the overall provider onboarding experience.
• Serve as a subject-matter expert and resource for clinical credentialing across the organization.
What You'll Bring
Qualifications
• 7+ years of clinical credentialing experience, preferably within a healthcare organization, medical group, health plan, staffing organization, or similar environment.
• Strong understanding of the provider credentialing and recredentialing lifecycle, including primary source verification and ongoing monitoring.
• Experience credentialing a variety of healthcare professionals, including Nurse Practitioners, Registered Nurses, Licensed Practical Nurses, and other clinical providers.
• Working knowledge of healthcare licensing, certifications, malpractice insurance, professional references, education verification, and other provider qualification requirements.
• Experience working with payer or health plan credentialing and enrollment processes is strongly preferred.
• Familiarity with credentialing databases, provider management systems, CAQH, and other healthcare credentialing platforms.
• Strong understanding of healthcare compliance requirements and the ability to research and interpret credentialing, licensing standards and running system audits.
• Exceptional attention to detail and accuracy, particularly when working with sensitive provider and compliance information.
• Strong organizational and time-management skills with the ability to manage multiple providers, deadlines, and priorities simultaneously.
• Excellent written and verbal communication skills with the ability to effectively communicate with clinicians, internal stakeholders, health plans, and external partners.
• Demonstrated ability to identify problems, independently research solutions, and proactively resolve credentialing issues.
• Comfortable working independently while also collaborating closely with Clinical Operations, HR, Compliance, and leadership.
• Experience developing or improving credentialing processes, workflows, and standard operating procedures is a plus.
Work Environment

This is an on-site position based in Pompano Beach, FL.

Monday-Friday | In Office

$85,000 - $95,000 a year

What We Offer

Competitive wage

Benefits Package: Medical Dental Vision within 30 days of hire

Paid Time Off - Vacation + Sick Time

Paid Holidays

Opportunities for professional growth

We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.

Similar Jobs

More Jobs at Porter Cares, Inc.

More Healthcare Jobs

Find similar Senior Credentialer jobs: