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Porter, a healthcare IT and services platform, is seeking a Senior Clinical Credentialer to lead and oversee clinical credentialing operations. This role manages the end-to-end credentialing and recredentialing process for diverse healthcare professionals including Nurse Practitioners, Registered Nurses, Licensed Practical Nurses, and other clinical providers. You will serve as a subject-matter expert on credentialing requirements, identify compliance issues, and ensure providers remain fully credentialed and eligible to deliver care.
Key responsibilities include:
- Own and manage the full lifecycle of clinical credentialing for Porter's clinical workforce
- Verify provider qualifications including licenses, certifications, education, training, work history, and malpractice coverage
- Conduct primary source verification and maintain audit-ready credentialing files
- Monitor provider licenses, certifications, registrations, malpractice insurance, and other time-sensitive credentials
- Proactively track expirables and initiate renewal processes in advance
- Identify and resolve credentialing discrepancies, gaps, and compliance issues
- Coordinate provider enrollment and credentialing activities with health plans, payers, and healthcare organizations
- Guide clinical providers through credentialing and onboarding processes
- Partner with Clinical Operations, HR, Compliance, and leadership to ensure appropriate credentialing before patient care delivery
- Maintain accurate provider information within internal systems and databases
- Develop, document, and improve credentialing workflows, processes, and standard operating procedures
- Monitor credentialing timelines and performance metrics
- Support internal and external audits with organized, accessible documentation
- Stay current on healthcare regulations, credentialing standards, payer requirements, and state-specific licensing requirements
- Identify opportunities to improve efficiency and enhance the provider onboarding experience
- Serve as a subject-matter expert and resource for clinical credentialing across the organization
This is an on-site, Monday–Friday position based in Pompano Beach, FL.
QUALIFICATIONS:
- 7+ years of clinical credentialing experience, preferably within a healthcare organization, medical group, health plan, staffing organization, or similar environment
- Strong understanding of the provider credentialing and recredentialing lifecycle, including primary source verification and ongoing monitoring
- Experience credentialing a variety of healthcare professionals, including Nurse Practitioners, Registered Nurses, Licensed Practical Nurses, and other clinical providers
- Working knowledge of healthcare licensing, certifications, malpractice insurance, professional references, education verification, and other provider qualification requirements
- Experience working with payer or health plan credentialing and enrollment processes (strongly preferred)
- Familiarity with credentialing databases, provider management systems, CAQH, and other healthcare credentialing platforms
- Strong understanding of healthcare compliance requirements and ability to research and interpret credentialing and licensing standards and run system audits
- Exceptional attention to detail and accuracy when working with sensitive provider and compliance information
- Strong organizational and time-management skills with ability to manage multiple providers, deadlines, and priorities simultaneously
- Excellent written and verbal communication skills with ability to effectively communicate with clinicians, internal stakeholders, health plans, and external partners
- Demonstrated ability to identify problems, independently research solutions, and proactively resolve credentialing issues
- Comfortable working independently while collaborating closely with Clinical Operations, HR, Compliance, and leadership
- Experience developing or improving credentialing processes, workflows, and standard operating procedures (a plus)
