Credentialing Specialist

About Optima Medical

Optima Medical is an Arizona-based medical group consisting of 30 locations and over 130+ medical providers, who care for more than 200,000 patients statewide. Our mission is to improve the quality of life throughout Arizona by helping communities “Live Better, Live Longer” through personalized healthcare, with a focus on preventing the nation’s top leading causes of death. We go beyond primary care with a full spectrum of services including cardiovascular health services, behavioral health, allergy testing and immunotherapy, in-house lab testing, imaging, chronic disease management, and other specialty health services. We aspire to aid the growth of our company by welcoming the most qualified and deserving candidates aboard.

Key Responsibilities

Manage initial credentialing, recredentialing, demographic updates, and payer enrollment for providers across multiple states (AZ & NV)

Monitor and track expiring licenses, DEA registrations, board certifications, malpractice insurance, and all other time-sensitive documents

Maintain and update provider data in CAQH, PECOS, NPPES, and payer portals to ensure accuracy and compliance

Track and follow up on all credentialing and enrollment submissions weekly to ensure timely approvals

Support provider onboarding including new state licensure and payer network participation

Respond to health plan and payer inquiries, resolving issues and missing documents

Coordinate with internal departments (billing/operations) to communicate credentialing status updates and changes impacting claims or scheduling

Qualifications

Minimum 2+ years of healthcare credentialing or provider enrollment experience

High level of professionalism with excellent written and verbal communication skills

Strong working knowledge of CAQH, PECOS, NPPES

Proficiency in Microsoft Excel (tracking, reporting, data management) and Microsoft Word

Ability to manage high-volume workflows, prioritize effectively, and meet deadlines in a fast-paced environment

Exceptional attention to detail, organization, and time management

Why join our team?

Substantial growth opportunities

Leadership and mentoring

Resources to further career

Fun work environment (lunches, events, holiday parties)

Benefits (medical/vision/dental/401k/paid holidays)

Supportive and positive work environment