Own the full DMEPOS credentialing lifecycle, including new enrollments, revalidations, reactivations, updates, and ongoing maintenance
Track and manage application status to ensure timely and accurate submissions
Maintain complete and audit-ready documentation aligned with regulatory standards
Monitor and interpret federal and state regulatory requirements, ensuring continuous compliance
Proactively implement updates to internal processes, policies, and documentation as requirements evolve
Act as a safeguard for compliance risk across all credentialing activities
Serve as the primary liaison with Medicare Administrative Contractors (MACs) and other regulatory bodies
Partner cross-functionally with internal teams to drive credentialing timelines and remove blockers
Lead customer-facing interactions to guide providers through licensing requirements and expectations
Develop, maintain, and continuously improve Credentialing SOPs and documentation standards
Identify inefficiencies and implement scalable solutions to improve turnaround times and accuracy
Lead data collection efforts to support reporting, tracking, and performance optimization
Serve as the internal credentialing expert, advising teams on requirements, risks, and best practices
Support onboarding and training initiatives related to credentialing processes
Facilitate onsite customer ID verification processes as needed
Ability to travel up to 20%, nationwide

Associate’s degree required; Bachelor’s preferred
2+ years in healthcare credentialing, Medicare enrollment, or regulated compliance environments
Experience working cross-functionally to drive outcomes

Medical, dental, and vision coverage
100% of the employee premium is covered by Rx Redefined.
Professional growth
be part of a high-growth team where you’ll learn quickly and see the impact of your work.
Bonus program eligible.

Credentialing & Compliance Lead

Key skills