Credentialing Specialist - Delegated Credentialing and NCQA Compliance Location: Remote (United States) Type: Short-term Contract, 1099 Job Overview We are looking for an experienced Credentialing Specialist with expertise in NCQA guidelines, delegated credentialing, and pre-delegation reviews. This role involves evaluating credentialing processes, ensuring compliance with NCQA standards, refining workflows, and serving as the liaison between our team, the client, and their credentialing verification organization (CVO). Key Responsibilities + Conduct pre-delegation reviews to assess and enhance delegated credentialing capabilities. + Ensure compliance with NCQA standards and recommend improvements to policies and procedures. + Collaborate with clients to optimize credentialing workflows and support their CVO activities. + Act as the primary contact for credentialing related communications with clients and stakeholders. + Maintain documentation and prepare reports to support audits and regulatory compliance. + Educate client teams on NCQA standards and best practices for credentialing and delegation. Qualifications Experience: + 5+ years of experience in provider credentialing, with 2+ years focused on delegated credentialing and NCQA compliance. + Proven expertise in conducting pre-delegation reviews and collaborating with CVOs. + Demonstrated experience and success in remote work environments, including managing communication and workflows effectively in a virtual setting. Skills: + Strong knowledge of NCQA credentialing and delegation standards. + Excellent organizational, communication, and project management abilities. + Proficiency with credentialing software (e.g., Salesforce, CAQH, or similar platforms). Hiring Process The hiring process will consist of: 1. Pre-screening. 2. One interview with EWINGS. 3. One interview with the client team. About EWINGS EWINGS is a leader in helping clients build large-scale healthcare provider networks. Since 2002, we have developed provider networks for clients in over 3,000 cities across all 50 states. A network assignment with EWINGS provides you the opportunity to gain valuable experience developing networks in multiple states for a variety of products with organizations of various sizes. Additional Information Candidates who input all (relevant) requested information during the registration process will increase their chances of being contacted when a position matches their skills and experience.