Credentialing Specialist, One Medical Credentialing

Description

Location Requirements: Candidates must be physically based in one of the following One Medical markets with the ability to travel and go in-office as needed in Raleigh-Durham (NC),

The Opportunity:
Are you someone who finds genuine satisfaction in untangling complex processes, naturally organizes and systematizes chaos, and is highly-motivated by tangible work that directly translates to helping patients find better access to healthcare?

The Amazon One Medical Credentialing team is looking for a self-motivated, customer-obsessed problem solver who thrives on being the behind-the-scenes force that helps clinicians focus on what they do best–care for patients. As a Credentialing Specialist, you'll guide new practitioners through onboarding, help them navigate intricate regulatory requirements, and build processes that eliminate friction and waste. If you're energized by autonomous work, love the satisfaction of checking off a well-organized task list, and get excited about learning something new every day while making clinicians’ jobs easier—this is the role for you!

You'll serve as the remote primary Credentialing Specialist to support 3-4 Southeast markets, ensuring new practitioners are in-network with insurance payors and compliant with state and federal regulations from day one—and throughout their entire tenure.

Why This Role Is Different:
Your work has an immediate, visible impact: This role entails much more than processing paperwork. You are a critical link that activates talented providers and helps get them in front of patients faster. Every application you perfect, every license you renew, and every insurance hurdle you clear directly translates to better access to care for our members.
You own your domain: This isn't micromanaged work. You will be supported by a manager and broader team of Credentialing Specialists but have the autonomy to approach your work and solve problems in your way, to become the go-to expert for your markets.
Your ideas matter here: We're a team that values continuous improvement. When you see a better way to do something, we want to hear your ideas and help find ways to implement ways of working that bring the whole team new levels of efficiency.
Build expertise that's in demand: Healthcare credentialing is a specialized skill set. You'll develop deep knowledge that opens doors across the healthcare industry.
No credentialing experience required—just the right mindset: If you're intellectually curious, like to dive deep, and are a fast learner with exceptional organizational skills and a customer service heart--we'll teach you everything else you need to succeed.

Key job responsibilities
Provider Lifecycle Management & Risk Mitigation: Own credentialing for 3-4 Southeast markets, guiding clinicians through onboarding as well as any other movement such as practice transitions or departures. Stay ahead of compliance issues across state lines and practice models, building compliant pathways that protect providers and the organization.
Strategic Payor & Hospital Partner Relations: Build strong relationships with key decision-makers at hospitals and insurance companies who control application timelines. Leverage these partnerships to accelerate approvals, clear obstacles early, and turn external partners into advocates for One Medical's growth.

Compliance Oversight & Regulatory Intelligence: Keep providers in full compliance with state and federal regulations by proactively managing renewals, tracking cycles, and staying current on evolving requirements. Be the credentialing authority who spots risks early, translates complex regulations into clear guidance, and gives providers confidence to practice across states.

Data Integrity & Compliance Reporting: Maintain flawless provider databases. Ensure every credential, license, and enrollment is properly recorded while safeguarding strict confidentiality. Track performance metrics, identify patterns signaling emerging risks, and deliver insights that drive strategic decisions.

Continuous Improvement & Cross-Functional Collaboration: Drive process innovation by evaluating current workflows, identifying inefficiencies, and implementing improvements that raise operational standards. Collaborate with Credentialing Specialists across all markets on cross-district initiatives, share best practices, and contribute to enterprise-wide projects that enhance provider experience and organizational compliance posture.

A day in the life
Detail Obsession: You double and triple-check your work. When working on behalf of clinicians completing forms and applications with accuracy is absolutely critical.
Relationship Builder: You engage confidently with partners at all levels—internal and external—building trust, holding people accountable, and driving work forward with exceptional customer service.
Master Organizer: You self-manage high volumes of work, prioritize ruthlessly, and deliver work by hard deadlines without needing prompting.
High Ownership: You self-guide your work, understand how your tasks connect to overarching goals, and take initiative to move things forward—while knowing when to escalate or ask for help. You communicate with clarity and confidence, rally people around shared goals, welcome feedback as fuel for growth, and aren't afraid to hold yourself and others to high standards.
Systems Thinker: You love diving into how things work, identifying root causes when processes break down, and driving solutions. You're never satisfied with "that's how we've always done it." You dig into the why, spot opportunities for improvement, and drive change that matters.
Fast and Resilient Learner: You receive feedback gracefully, learn quickly from mistakes, self-correct, and use setbacks as opportunities to improve.

If you're the kind of person who gets satisfaction from crossing every 't' and dotting every 'i,' who loves the challenge of navigating complex systems where no two days are the same, and who wants the satisfaction of seeing how your work directly enables better healthcare—we can't wait to meet you!

Basic Qualifications

- Bachelor's degree or equivalent
- 3+ years of healthcare credentialing experience (hospital, payor, or provider credentialing) OR 3+ years experience in a high-volume healthcare operations role leading a team, program, or process (ex. inventory, billing, etc.) OR 2+ years experience in an Executive Assistant role that required project management and managing stakeholders to complete work to hard deadlines.
- 2+ years owning a program or process in an ambiguous environment with a proven track record of delivering results without clearly defined procedures or step-by-step guidance—demonstrating ownership and learning agility.
- 2+ years in role that required handling highly sensitive information with strict confidentiality and professionalism, maintaining the highest standards of privacy and discretion
- Technical proficiency with Google Workspace (GSuite), Adobe Acrobat Pro, Excel, and Microsoft Office applications. Must have experience navigating multiple external portals and systems to complete work.

Preferred Qualifications

- 2+ years in role that required managing relationships with external stakeholders (ex. hospitals, payors, regulatory bodies) to influence outcomes, negotiate timelines, and resolve complex issues against hard deadlines
- 2+ years in a role that required understanding and translating complex operational processes into clear, actionable guidance, both written and verbal.

Amazon is an equal opportunity employer and does not discriminate on the basis of protected veteran status, disability, or other legally protected status.

Our inclusive culture empowers Amazonians to deliver the best results for our customers. If you have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support for the interview or onboarding process, please visit https://amazon.jobs/content/en/how-we-hire/accommodations for more information. If the country/region you’re applying in isn’t listed, please contact your Recruiting Partner.

The base salary range for this position is listed below. Your Amazon package will include sign-on payments and restricted stock units (RSUs). Final compensation will be determined based on factors including experience, qualifications, and location. Amazon also offers comprehensive benefits including health insurance (medical, dental, vision, prescription, Basic Life & AD&D insurance and option for Supplemental life plans, EAP, Mental Health Support, Medical Advice Line, Flexible Spending Accounts, Adoption and Surrogacy Reimbursement coverage), 401(k) matching, paid time off, and parental leave. Learn more about our benefits at https://amazon.jobs/en/benefits.

USA, NC, Virtual Location - N Carolina - 55,600.00 - 97,400.00 USD annually