Credentialing Associate (Part-Time)
firsthand supports individuals living with SMI (serious mental illness). Our holistic approach includes a team of peer recovery specialists, benefits specialists and clinicians. Our teams focus on meeting each individual where they are and walking with them side by side as a trusted guide and partner on their journey to better health.
firsthand's team members use their lived experience to build trust with these individuals and support them in reconnecting to the healthcare they need, while minimizing inappropriate healthcare utilization. Together with our health plan partners, we are changing the way our society supports those most impacted by SMI.
We are cultivating a team of deeply passionate problem-solvers to tackle significant and complex healthcare challenges with us. This is more than a job—it's a calling. Every day, you will engage in work that resonates with purpose, gain wisdom from motivated colleagues, and thrive in an environment that celebrates continuous learning, creativity, and fun.
Provider Services supports all aspects of provider and organizational compliance across enrollment, credentialing, and licensure. This contract role is primarily responsible for organizational licensure management for peers and non-clinical staff, ensuring all required licenses, registrations, and compliance items remain active, current, and audit-ready. This role will also provide backup support to provider enrollment and credentialing functions, including follow-ups, status tracking, and system updates when required.
This role is critical to ensuring that all organizational licensure and provider-related compliance functions remain current, accurate, and audit-ready, while also supporting broader Provider Services operations as needed.
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Target Hours: 30 per week
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Schedule: Monday–Friday (Flexible / Hybrid)
Key Responsibilities
Organizational Licensure & Compliance (Primary Focus)
- Track, monitor, and maintain all organizational licenses and registrations across applicable states
- Manage renewals, expirations, and supporting documentation to ensure continuous compliance
- Maintain accurate and up-to-date records in internal systems, trackers, and shared drives
- Coordinate with internal teams and external agencies to obtain required documentation
- Research state-specific requirements, regulations, and compliance standards
- Prepare documentation for audits, reviews, and internal reporting
- Identify risks or gaps in licensure and escalate as needed
Provider Enrollment & Credentialing Support (Secondary)
- Assist with payer enrollment submissions and follow-ups
- Update credentialing systems with application statuses and documentation
- Maintain provider records including licensure, board certifications, and supporting documents
- Track timelines and ensure submissions are progressing within expected turnaround times
- Support CAQH updates and general provider data maintenance
- Communicate with payers and internal stakeholders regarding status updates
Systems, Tracking & Reporting
- Maintain and update spreadsheets, credentialing software, and internal tracking tools
- Ensure all documentation is organized, complete, and easily accessible
- Generate basic reports on licensure and enrollment status as needed
- Document all actions taken for compliance and audit purposes
Qualifications
Required
- 3+ years experience in healthcare administration, credentialing, enrollment, and general compliance
- Strong organizational and tracking skills with high attention to detail
- Experience working with spreadsheets and document management systems
- Ability to manage multiple deadlines and priorities
Preferred
- Experience with provider enrollment, credentialing, or licensing processes
- Knowledge of Medicare, Medicaid, and commercial payer processes
- Familiarity with CAQH and credentialing platforms
- Understanding of healthcare regulatory requirements
Core Competencies
- Detail-oriented and deadline-driven
- Strong research and problem-solving skills
- Clear written and verbal communication
- Ability to work independently and as part of a team
- Adaptability in a fast-paced, evolving environment
We firmly believe that great candidates for this role may not meet 100% of the criteria listed in this posting. We encourage you to apply anyway - we look forward to begin getting to know you.
Benefits For full-time employees, our compensation package includes base, equity (or a special incentive program for clinical roles) and performance bonus potential. Our benefits include physical and mental health, dental, vision, 401(k) with a match, 16 weeks parental leave for either parent, 15 days/year vacation in your first year (this increases to 20 days/year in your second year and beyond), and a supportive and inclusive culture.
Vaccination Policy Employment with firsthand is contingent upon attesting to medical clearance requirements, which include, but may not be limited to: evidence of vaccination for/immunity to COVID-19, Hepatitis B, Influenza, MMR, Chickenpox, Tetanus and Diphtheria. All employees of firsthand are required to receive these vaccinations on a cadence/frequency as advised by the CDC, whereas not otherwise prohibited by state law. New hires may submit for consideration a request to be exempted from these requirements (based on a valid religious or medical reason) via forms provided by firsthand. Such requests will be subject to review and approval by the Company, and exemptions will be granted only if the Company can provide a reasonable accommodation in relation to the requested exemption. Note that approvals for reasonable accommodations are reviewed and approved on a case-by-case basis and availability of a reasonable accommodation is not guaranteed. Unfortunately, we are not able to offer sponsorship at this time. firsthand Health will only contact candidates from email addresses ending in @firsthandcares.com. Any communication from another domain claiming to represent firsthand is fraudulent. We will never ask for payment or sensitive financial information during the hiring process. If you receive suspicious outreach, please do not respond. Apply To This Job