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Credentialing Specialist I

Centene

Credentialing Specialist I

Centene

Remote-NC

·

Remote

·

Full-time

·

1w ago

Compensation

$40,374 - $68,599

Benefits & Perks

Healthcare

401(k)

Equity

Tuition Reimbursement

Paid Time Off

Remote Work

Flexible Hours

Healthcare

401k

Equity

Remote Work

Flexible Hours

Required Skills

Data entry

Customer service

Medical office operations

Provider data management

Credentialing

Healthcare operations

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.NOTE:** For this role we are seeking candidates who live in North Carolina

Position Purpose: Perform credentialing and related activities based on plan specifications

  • Perform credentialing and re-credentialing activities according to plan specifications and in compliance with NCQA standards
  • Communicate with professionalism with physicians, office managers, providers, and other third parties to secure needed information
  • Gather information for Credentialing Committee meetings
  • Process, track and file credentialing applications within established standards
  • Generate and utilize reporting to support business functions
  • Ability to thrive in a fast-paced production environment while maintaining quality

Education/Experience: Associate’s degree, or high school diploma/equivalent and 1+ years of data entry, customer service, medical office, provider data management, credentialing or healthcare operations (i.e. claims processing, billing, provider relations or contracting) experience, preferably in a managed care or insurance environment.

Pay Range: $19.43 - $32.98 per hour

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

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About Centene

Centene

Centene

Public

Centene Corporation is an American for-profit healthcare company based in the Greater St. Louis area, which is an intermediary for government-sponsored and privately insured healthcare programs. Centene ranked No. 23 on the 2025 Fortune 500.

10,001+

Employees

the Greater St

Headquarters

Reviews

3.7

15 reviews

Work Life Balance

3.0

Compensation

3.0

Culture

3.5

Career

4.0

Management

3.0

65%

Recommend to a Friend

Pros

Good place for career growth in data and healthcare

Opportunities in healthcare and insurance domain

Active hiring for technical roles

Cons

Mixed reviews online raise concerns

Difficult to get responses without referrals

Lack of transparency in compensation discussions

Salary Ranges

0 data points

L2

L3

L4

L5

L6

L2 · Data Analyst L2

0 reports

$66,369

total / year

Base

$26,548

Stock

$33,185

Bonus

$6,637

$46,458

$86,280

Interview Experience

4 interviews

Difficulty

2.8

/ 5

Duration

14-28 weeks

Offer Rate

25%

Experience

Positive 25%

Neutral 75%

Negative 0%

Interview Process

1

Application Review

2

HR Screen

3

Hiring Manager Interview

4

Technical Assessment

5

Panel Interview

6

Offer

Common Questions

Technical Knowledge

Behavioral/STAR

Past Experience

Data Analysis

Culture Fit