Credentialing Specialist

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

The Collaborative Physician Coordinator is responsible for overseeing and managing the administrative and compliance processes related to the collaboration agreements between Nurse Practitioners (NPs), Physician Assistants (PAs), and their designated supervising or collaborating physicians.

This role ensures alignment with state laws, regulatory standards, and organizational policies while supporting timely onboarding, renewals, and effective communication between all stakeholders.
 

Key Responsibilities:

• Coordinate and maintain up-to-date collaborative practice agreements in accordance with applicable state and plan regulations.
• Act as a liaison between clinicians and collaborating physicians to facilitate timely agreement execution and renewals.
• Track and monitor active and pending collaborations, including expiration dates, required documentation, and state-specific requirements.
• Ensure compliance with all credentialing, licensing, and collaborative requirements through regular audits and reporting.
• Collaborate with credentialing, legal, and provider operations teams to resolve discrepancies or delays in collaboration processes.
• Maintain accurate and secure records of all collaborative agreements in internal systems (e.g., MD-Staff, PowerBi).
• Provide timely updates and communication to clinicians and leadership on collaboration statuses.
• Stay current with changes in state laws and guidelines regarding supervision and collaboration practices for advanced practice providers.

Basic Qualifications

• 2+ years of experience in healthcare operations, credentialing, or provider coordination, preferably with knowledge of collaborative practice requirements.
• Familiarity with regulatory standards (state medical boards, CMS) related to NP/PA collaboration.
• Strong organizational skills with keen attention to detail.
• Proficiency in systems such as MD-Staff, Google Suite, PowerBi, and Microsoft Office Suite.
• Excellent verbal and written communication skills.
• Ability to manage multiple deadlines and work independently in a fast-paced environment.

Preferred Qualifications

• Experience with multi-state collaboration coordination.
• Understanding of payer compliance and credentialing timelines.
• Prior experience supporting provider relations or legal documentation workflows.

 

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$17.00 - $28.46

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls.  The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.  This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. 
 

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.

• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.

• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

For more information, visit https://jobs.cvshealth.com/us/en/benefits

We anticipate the application window for this opening will close on: 08/31/2025

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.