Durham, North Carolina, United States · Remote OK
Anticipated End Date: 2026-09-24 Position Title: Credentialing Analyst (CareBridge) Job Description: Credentialing Analyst LOCATION: This is a virtual eligible role. You should be within a reasonable proximity to one of …
Skills: Credentialing, Auditing, Managed care, Provider enrollment, Data analysis
Durham, North Carolina, United States · On-site
The position is described below. If you want to apply, click the Apply Now button at the top or bottom of this page. After you click Apply Now and complete your application, you'll be invited to create a profile, which w…
Skills: Wholesale payments, Sales strategy, Financial modeling, Risk management, Salesforce
Durham, North Carolina, United States · On-site
At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advanc…
Skills: Risk management, Liability investigation, Claims resolution, Data analysis, Trend analysis
Durham, North Carolina, United States · On-site
At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advanc…
Skills: Pharmacy technician, Prior authorizations, Medication management, Insurance verification, Patient assistance programs
Durham, North Carolina, United States · Remote OK
At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advanc…
Skills: Revenue cycle management, Financial management, Budgeting, Performance management, Customer service
Durham, North Carolina, United States · Remote OK
At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advanc…
Skills: Clinical documentation improvement, Chart review, Case management, Utilization review, Medical coding
Durham, North Carolina, United States · Hybrid
Labcorp is a global leader in laboratory services, providing the insights and answers that help healthcare providers, patients, researchers, pharmaceutical companies and health systems make confident decisions and improv…
Skills: Talent Acquisition, Employer Branding, Data Analysis, KPI Reporting, Process Improvement
Durham, North Carolina, United States · On-site
At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advanc…
Skills: Patient scheduling, Patient registration, Medical coding, Billing, Customer service
Durham, North Carolina, United States · Remote OK
At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advanc…
Skills: Revenue Cycle Management, Financial Management, Budgeting, Performance Management, Customer Service
Durham, North Carolina, United States · On-site
At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advanc…
Skills: Patient care, Medical history taking, Vital signs monitoring, Phlebotomy, Electrocardiograms
Durham, North Carolina, United States · On-site
$49k–$123k/yr
Job Overview Under moderate supervision, executes the feasibility, site identification regulatory, start-up, and maintenance activities in accordance with regulations, SOPs, and project requirements at the regional, or c…
Skills: Site activation, Feasibility, Regulatory compliance, Site identification, Contract negotiation
Durham, North Carolina, United States · On-site
At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advanc…
Skills: Supply Chain Management, Team Leadership, Inventory Control, Logistics, Process Optimization
Lake Mary, Florida, United States · Hybrid
Anticipated End Date: 2026-10-02 Position Title: Credentialing Coordinator - BioPlus Specialty Pharmacy Job Description: Credentialing Coordinator Primary Location(s): Lake Mary, FL Hybrid: This role requires associates …
Skills: Credentialing, Compliance auditing, Sanction monitoring, Delegation oversight, Account management
Durham, North Carolina, United States · On-site
Description Director of Community Management (HOA/COA) Location: Raleigh-Durham, NC Employment Type: Full-Time Industry: HOA / COA Property Management Job Description: The Director of Community Management will provide st…
Skills: Community Management, HOA/COA Governance, Team Leadership, Financial Management, Budgeting
Durham, North Carolina, United States · On-site
Overview This position is responsible for building full relationships with mass affluent clients through proactive outreach to an assigned book of business and referrals from bank partners. Strengthens and manages existi…
Skills: Financial advice, Relationship management, Sales, Financial analysis, Credit underwriting
Durham, North Carolina, United States · On-site
Overview Are you ready to take your career to new heights? At Concentra, you will be a vital member of our patient care team and play a crucial role in providing exceptional care to our patients. Our mission is to improv…
Skills: Operations Management, Patient Care, Leadership, Customer Service, Staff Scheduling
Scottsdale, Arizona, United States · On-site
$17/hr–$20/hr
Why Work at Mercer Advisors? For more than 40 years, Mercer Advisors has been helping families amplify and simplify their financial lives by integrating financial planning, investment management, business management, tax…
Skills: Financial Planning, Investment Management, Client Service, Communication, Analytical Skills
Durham, North Carolina, United States · Remote Solely
We're looking for an organized and client-focused Work From Home Travel Planner to help clients research destinations, coordinate travel details, and put together well-organized trip plans. This remote role is a great fi…
Skills: Communication, Organizational skills, Attention to detail, Time management, Customer service
Durham, North Carolina, United States · Hybrid
Description ***First 90 Days 100% On-Site*** Hybrid Following - 3 Days in Office, 2 Days Remote Join Our High-Energy Healthcare Call Center Team! At Revco Solutions we provide exceptional customer service to the patients…
Skills: Customer service, Communication, Problem-solving, Multitasking, Data entry
Durham, North Carolina, United States · On-site
What You'll Do The Mail Specialist manages physical mail workflows that support tax compliance, business registrations, exemption certificates, and jurisdictional filings. In this role, you will help Avalara meet crucial…
Skills: Mailroom operations, Administrative support, Document processing, Compliance operations, Notary certification
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The Credentialing Analyst supports licensing and credentialing efforts by performing complex file audits, managing appeals, and conducting research. They also interact with clinical leadership to resolve provider issues and ensure documentation accuracy according to company policies.
Candidates must have a high school diploma or equivalent and at least 3 years of experience in a managed care environment. Familiarity with industry platforms like NPPES, PECOS, and CAQH is preferred.
Credentialing Analyst
Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions (when indicated), providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered if candidates reside within a commuting distance from an office.
Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless accommodation is granted as required by law.
The Credentialing Analyst performs more complex activities in support of provider credentialing to include additional research, auditing, managing credentialing appeals, special projects, delegation oversight, and site visits.
Supports overall licensing and credentialing efforts for a national virtual provider group
Performs credentials file audits to ensure timeliness of processing, quality of documentation, and adherence to company and department policies.
Performs quality review of files to determine accuracy and completeness of all necessary documentation from associated vendors.
Analyzes performance data to predetermined standards.
Interacts with internal clinical frontline and leadership to obtain information, provide status updates, research issues necessary for Credentials Committee review.
Utilizes internal systems and runs reports/queries to research provider questions and resolve issues.
Monitors license actions, complaints, and sanctions and obtains necessary information for Managers review.
Requires a H.S. diploma or equivalent and minimum of 3 years’ experience in a managed care environment; or any combination of education and experience, which would provide an equivalent background.
Familiarity with NPPES, PECOS, CAQH, and Medallion Platforms
Strong organizational and time management skills
Experience in NLC, Medicaid Provider Enrollment, and Provider Collaboration Agreement Management experience.
Experience working with frontline providers.
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process should submit the following form: Accessibility Accommodation Request Form and a member of the team will be in contact. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.
NOTE: Workday keeps job postings active through 11:59:59 PM on the day before the listed end date. Example: If the end date is 3/13, the posting will automatically come down on 3/12 at 11:59:59 PM. In other words — the job is posted until 3/13, not through 3/13.
Fueled by our bold purpose to improve the health of humanity, we are transforming from a traditional health benefits organization into a lifetime trusted health partner. Our nearly 100,000 associates serve more than 118 million people, at every stage of health. We address a full range of needs with an integrated whole health approach, powered by industry-leading capabilities and a digital platform for health. We believe that improving health for everyone is possible. It begins by redefining health, reimagining the health system, and strengthening our communities.
Offices: 220 Virginia Ave, Indianapolis, Indiana 46204, US
There are currently 864 open administrative positions in Durham, NC listed on Clera. New openings are added daily as companies post roles.
Companies currently hiring include Duke University School of Medicine, Duke University Hospital, Durham County Government, Duke Health Technology Solutions, Cintas, among others. Browse the listings above to see every active employer.
Yes — 140 of the 864 open administrative positions offer remote or hybrid work (57 remote, 83 hybrid).
Each listing links directly to the employer's application page. Apply early — fresh listings get the most recruiter attention in the first two weeks.
