Delegated Credentialing Specialist

The role

The Delegated Credentialing Specialist manages the day-to-day execution of the delegated credentialing program across assigned payer relationships. This role handles payer audits, compliance reporting, and credentialing operations while supporting Nurse Practitioners and group practices.

What you will do

• Oversee delegated credentialing activities for an assigned payer portfolio
• Monitor NCQA guidance, state regulations, and accreditation updates
• Prepare for and facilitate pre-delegation and annual credentialing audits
• Maintain complete, audit-ready credentialing records
• Prepare recurring deliverables for delegated partners and payers
• Monitor average time to credential and support targets
• Partner with internal teams to maintain accurate provider data
• Serve as a point of contact for payer communications
• Support the implementation of new delegated credentialing agreements
• Serve as the operational lead for Credentialing Committee meetings

Required qualifications

• 2–5 years of credentialing and enrollment experience
• At least 2 years specifically focused on delegated credentialing
• Certified Provider Credentialing Specialist (CPCS) certification
• Ability to manage multiple payer relationships and responsibilities with minimal oversight
• Self-motivated team player who thrives in multi-tasking environment
• High attention to detail
• Strong organization
• Excellent documentation skills
• Outstanding written and verbal communication

Nice to have

• High-growth/tech-enabled healthcare background
• Behavioral health experience
• Familiarity with CAQH, NPDB, PECOS, state licensing resources, credentialing software, and payer rostering tools

Benefits

• Competitive salary and stock options
• Fully-covered medical and dental premiums for you and your family
• Voluntary insurance options
• Free, generous Tava mental health benefit
• Monthly HSA contributions for qualifying enrolled employees
• Generous PTO and paid holidays
• Paid parental leave
• 401(k) retirement plan
• Weekly company-paid lunch via DoorDash and a personal DashPass subscription

Before you apply

• Priority will be given to candidates living in specific states
• Tava is unable to sponsor employment visas
• Candidates must have authorization to work in the U.S. without company sponsorship now or in the future

About the company

Tava Health is a fast-growing team on a mission to make high-quality mental health care available to everyone by reimagining the experience for people and providers.