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HomeCompaniesHckd Fa Us2 Oraclecloud Com CX 1Associate Specialist, National Credentialing - Remote

Associate Specialist, National Credentialing - Remote

Hckd Fa Us2 Oraclecloud Com CX 1 · United States; Remote Employees, Long Beach, CA, US · Remote · Active · Oracle Recruiting Cloud / Fusion HCM

Job facts

FieldValue
CompanyHckd Fa Us2 Oraclecloud Com CX 1
TitleAssociate Specialist, National Credentialing - Remote
Normalized title-
Department / teamNetwork
LocationUnited States
Work modelRemote / Remote
Employment typeFull Time
Salary-
Statusactive
ATS providerOracle Recruiting Cloud / Fusion HCM
Posted / first seen2026-05-07 / 2026-05-31
Changed / last seen2026-05-31 / 2026-06-04

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PageWhat it containsOpen
Company jobsActive postings from Hckd Fa Us2 Oraclecloud Com CX 1.Open
Company breakdownsRole, location, ATS, and work model facets for this company.Open
ATS provider jobsActive postings observed through Oracle Recruiting Cloud / Fusion HCM.Open
Provider filtered searchThe same provider as a filtered job collection.Open
Department jobsActive postings in Network.Open
Work model jobsActive Remote postings.Open
Lifecycle eventsOpen, update, close, and reopen events for this posting.Open
Original postingCanonical source or apply URL captured from the ATS.Open

Linked records

CompanyHckd Fa Us2 Oraclecloud Com CX 1
Source8214b818-efda-4f30-9713-cac0e888e0f9
ATS providerOracle Recruiting Cloud / Fusion HCM

Description

Description JOB DESCRIPTION Job Summary Provides entry level support for Molina enterprise credentialing activities. Ensures that the Molina provider network consists of providers that meet all regulatory and risk management criteria - effectively minimizing liability to the company and maximizing safety for members. Responsible for initial credentialing, recredentialing and ongoing monitoring of sanctions and exclusions process for practitioners and health delivery organizations in the Molina network. Essential Job Duties • Evaluates credentialing applications for accuracy and completeness based on differences in provider specialty and obtains required verifications as outlined in Molina policies/procedures and regulatory requirements, while meeting production goals. • Communicates with health care providers to clarify questions and request any missing information. • Updates credentialing software systems with required information. • Requests recredentialing applications from providers and conducts follow-up on application requests, following department guidelines and production goals. • Collaborates with internal and external contacts to ensure timely processing or termination of recredentialing applicants. • Completes data corrections in the credentialing database necessary for processing of recredentialing applications. • Reviews claims payment systems to determine provider status, as necessary. • Completes follow-up for provider files on ‘watch’ status, as necessary, following department guidelines and production goals. • Reviews and processes daily alerts for federal/state and license sanctions and exclusions reports to determine if providers have sanctions/exclusions. • Reviews and processes daily alerts for Medicare opt-out reports to determine if any provider has opted out of Medicare. • Reviews and processes daily National Practitioner Data Bank (NPDB) continuous query reports and takes appropriate action when new reports are found. • Maintains a high level of confidentiality related to provider information. Required Qualifications • At least 1 year of experience in a data processing, production, and/or administrative role - preferably in a health care setting, or equivalent combination of relevant education and experience. • Data entry skills. • Self-direction and logical thinking abilities. • Internet research experience. • Ability to work cross-collaboratively in a highly matrixed organization with internal/external stakeholders. • Effective verbal and written communication skills. • Microsoft Office suite and applicable software programs proficiency. Preferred Qualifications • Health care industry experience. • Production-related experience. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Full job record

Job ID9aed9c898379660a9117aa7e5ab0d1dded5f3058
Org ID6fcfe228-ec8c-4e31-bf8d-2e5d2cb49f0a
Source ID8214b818-efda-4f30-9713-cac0e888e0f9
Board ID8214b818-efda-4f30-9713-cac0e888e0f9
Provideroracle_hcm
Provider Job Key2036882
TitleAssociate Specialist, National Credentialing - Remote
Normalized Title
Statusactive
Activeyes
Location TextUnited States; Remote Employees, Long Beach, CA, US
DepartmentNetwork
Team
Employment Typefull_time
Workplace Typeremote
Remote Policyremote
CountryUnited States
Region
City
Salary RawDescription JOB DESCRIPTION Job Summary Provides entry level support for Molina enterprise credentialing activities. Ensures that the Molina provider network consists of providers that meet all regulatory and risk management criteria - effectively minimizing liability to the company and maximizing safety for members. Responsible for initial credentialing, recredentialing and ongoing monitoring of sanctions and exclusions process for practitioners and health delivery organizations in the Molina network. Essential Job Duties • Evaluates credentialing applications for accuracy and completeness based on differences in provider specialty and obtains required verifications as outlined in Molina policies/procedures and regulatory requirements, while meeting production goals. • Communicates with health care providers to clarify questions and request any missing information. • Updates credentialing software systems with required information. • Requests recredentialing applications from providers and conducts follow-up on application requests, following department guidelines and production goals. • Collaborates with internal and external contacts to ensure timely processing or termination of recredentialing applicants. • Completes data corrections in the credentialing database necessary for processing of recredentialing applications. • Reviews claims payment systems to determine provider status, as necessary. • Completes follow-up for provider files on ‘watch’ status, as necessary, following department guidelines and production goals. • Reviews and processes daily alerts for federal/state and license sanctions and exclusions reports to determine if providers have sanctions/exclusions. • Reviews and processes daily alerts for Medicare opt-out reports to determine if any provider has opted out of Medicare. • Reviews and processes daily National Practitioner Data Bank (NPDB) continuous query reports and takes appropriate action when new reports are found. • Maintains a high level of confidentiality related to provider information. Required Qualifications • At least 1 year of experience in a data processing, production, and/or administrative role - preferably in a health care setting, or equivalent combination of relevant education and experience. • Data entry skills. • Self-direction and logical thinking abilities. • Internet research experience. • Ability to work cross-collaboratively in a highly matrixed organization with internal/external stakeholders. • Effective verbal and written communication skills. • Microsoft Office suite and applicable software programs proficiency. Preferred Qualifications • Health care industry experience. • Production-related experience. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Salary Min
Salary Max
Salary Currency
Salary Periodday
Source URLhttps://hckd.fa.us2.oraclecloud.com/hcmUI/CandidateExperience/en/sites/CX_1/job/2036882
Apply URLhttps://hckd.fa.us2.oraclecloud.com/hcmUI/CandidateExperience/en/sites/CX_1/job/2036882
First Seen At2026-05-31 18:03:56Z
Last Seen At2026-06-04 10:41:54Z
Last Checked At2026-06-04 10:41:54Z
Last Changed At2026-05-31 18:03:56Z
Inactive At
Source Posted At2026-05-07 15:23:00Z
Source Updated At
Raw Payload Uris3://bluework-jobs-prod-raw-590183727216/raw/provider=oracle_hcm/board=hckd.fa.us2.oraclecloud.com|CX_1/date=2026-06-04/2026-06-04T10-41-15-720Z-6f3fde6be611fb8f4f0ed9945d2af575b2cc4d8625c1ef3da78b27a84621f5fd.json
Event Fields
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Parsed Structured
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Extensions
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Native Structured
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