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Privileging and Enrollment Specialist

Community Health Northwest Florida
Pensacola, FL Full Time
POSTED ON 3/27/2025
AVAILABLE BEFORE 5/26/2025

Join Us in Our Mission to Improve Community Health!

At Community Health Northwest Florida, we are more than just healthcare providers; we are health advocates, working to create a thriving community where everyone has access to quality healthcare. As a Federally Qualified Health Center (FQHC), we strive to make a meaningful difference, one home, one neighborhood, and one community at a time. Our work goes beyond just treating illness—we are committed to holistic health for all, empowering and uplifting the communities we serve.

Job Purpose:

Are you passionate about ensuring healthcare providers meet the highest standards of excellence? As our Privileging and Enrollment Specialist, you will play a vital role in coordinating and maintaining the privileging and enrollment processes for our medical staff and providers. Your attention to detail, organizational skills, and commitment to compliance will be key to our success.

You'll lead the privileging process by ensuring medical staff and providers are properly credentialed and meet regulatory standards, keeping us compliant with HRSA and FQHC requirements. You’ll also oversee provider enrollment to make sure that our health plans and processes run smoothly and efficiently.

Key Responsibilities:

  • Lead and coordinate the privileging and re-privileging process for medical staff and providers.

  • Serve as the main point of contact for providers during the privileging and enrollment processes.

  • Conduct thorough research and verification of provider applications.

  • Ensure all provider background checks and screenings are completed accurately and on time.

  • Maintain accurate records of privileging and enrollment, ensuring compliance with accrediting and regulatory agencies.

  • Work closely with internal teams and external credentialing companies to ensure timely provider enrollment.

  • Monitor the status of applications and respond to inquiries from health plans or other external partners.

What We’re Looking For:

  • Experience: Previous experience in credentialing, privileging, or human resources is essential.

  • Skills: Strong organizational skills, excellent communication, and attention to detail.

  • Knowledge: Understanding of HRSA policies and procedures related to medical privileging is a plus.

  • Education: Associate's degree in a healthcare-related field is preferred.

  • Certification: NAMSS certification (CPMSM or CPCS) is a bonus or the willingness to obtain certification within one year.

Why You Should Apply:

At Community Health Northwest Florida, we are dedicated to providing an inclusive, dynamic, and supportive work environment. You’ll be part of a team that works together to make an impactful difference in the lives of underserved communities. If you thrive in a fast-paced environment, have a passion for compliance and credentialing, and want to be part of a mission-driven organization, we want to hear from you!

The Perks:

  • Full-time, stable position with competitive hours

  • Work in a dynamic and growing community-focused organization

  • Opportunity to develop professionally and grow within a supportive team

Ready to Make a Difference?

If you’re ready to take on a role where your work will have a lasting impact on the health and well-being of your community, apply now to become a Privileging and Enrollment Specialist at Community Health Northwest Florida. Join our team and help shape the future of community health!

Apply Today!

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Job openings at Community Health Northwest Florida

Community Health Northwest Florida
Hired Organization Address Pensacola, FL Full Time
Job Description Job Description Single Mission, Multiple Impact When we say we want to improve community health, we mean...

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