Credentialing Specialist

Credentialing Specialist

Trusted Medical, PLLC

Trusted Medical, PLLC is the clinical care delivery affiliate of Edera (). We specialize in serving Veterans by reducing wait times for them to gain access to disability screens and separation health assessments required by the Veteran Affairs (VA) to receive benefits. Help serve those who have served us by joining our growing team!

In addition to our core work with the VA,
Trusted Medical holds multiple government contracts nationwide
, allowing our providers to also participate in occupational health services for their applicants and employees. This includes pre-employment screenings, fitness-for-duty evaluations, and other health assessments that support a wide range of government agencies.

This position directly supports the United States Military Entrance Processing Command (USMEPCOM) that conducts over 250,000 medical evaluations annually, serving as the critical gateway for applicants entering both the Regular and Reserve components of the Armed Forces. By joining Trusted Medical, you will play an essential role in ensuring the health and readiness of future service members—helping to strengthen military preparedness.

The candidate should have firsthand industry experience in Credentialing solutions and demonstrate deep familiarity with the application of electronic health records in that setting. They must work to resolve issues and change requests. They must be able to confidently lead discussions with diverse stakeholders, assess current-state workflows, and propose enhancements that consider both immediate needs and downstream impacts. Additionally, they should be adept at articulating changes to affected groups, integrating those insights into training content and communication strategies to support long-term success across future rollouts.

Applicants with VA and/or DoD experience are preferred, along with an active federal clearance or the ability to obtain one.

Full-time salaried and fully benefited position

Must report to a Trusted Medical clinic daily (see locations below). This is not a remote/virtual position. Applicants must be free from travel restrictions to accommodate the evolving needs of the client.

Starting at $52,123, depending on experience and location. Competitive salary/pay, potential bonuses based on individual and company performance. The pay range for this position is highly competitive but dependent upon employment type (1099, contract, W2).

Trusted Medical Senior Leadership

This role has no direct reports

• Manage end-to-end credentialing processes including enrollment, initial credentialing, and recredentialing.
• Conduct primary source verification of credentials (licenses, DEA, board certifications, education, work history).
• Maintain accurate provider data in credentialing systems (e.g., CAQH, Credential Stream, PECOS, NPPES).
• Track expiration of licenses, credentials, malpractice insurance, CME, and renewals; manage recredentialing timelines.
• Submit credentialing/enrollment applications to payers and follow up until in-network status is confirmed.
• Ensure compliance with state/federal regulations, NCQA, TJC, CMS, and accredited institutions.
• Assist in developing/improving internal credentialing policies and procedures.
• Respond to information requests from regulatory agencies or public inquiries as required.

• Deep knowledge of healthcare regulatory requirements, credentialing standards (NCQA, TJC, CMS), and payer credentialing rules.
• Strong attention to detail and analytical skills to review applications, detect discrepancies, and resolve credentialing issues.
• Exceptional organizational and time-management skills, able to manage high volumes independently.
• Excellent written and verbal communication skills.
• Research-savvy, able to verify documentation across diverse systems and sources.
• Flexible and adaptable to frequent travel, with no restrictions on mobility.

• Health Information Management, Healthcare Administration, Business Administration, or related…