Credentialing & Payer Enrollment Specialist (CVO) - Remote

Position Title: Credentialing & Payer Enrollment Specialist (CVO)

Department: Credentialing Operations

Reports To: Director of Credentialing / VP of Operations

Location: Remote — Philippines

Employment Type: Full-time

Target Start Date: March 1, 2025

Position Summary

The CVO Documentation & Audit Specialist will lead the preparation, documentation, and compliance efforts required for NCQA CVO Certification. This is a critical hire for an accelerated certification timeline targeting Q The role involves developing and maintaining credentialing policies and procedures aligned with NCQA standards, conducting internal audits, preparing documentation for survey submission, and ensuring ongoing compliance with certification requirements.

Key Responsibilities

• NCQA Documentation & Compliance (50%)
• Develop, write, and maintain credentialing policies and procedures aligned with NCQA CVO standards
• Cross-refere...