Credentialing Professional
About this role
Humana
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The Credentialing Professional 1 supports clinician compliance by monitoring, verifying, and maintaining professional licenses and certifications. This role performs primary source verifications (PSVs), maintains accurate records, supports audits, and partners with clinicians, leaders, and compliance teams to ensure ongoing regulatory compliance.
Key Responsibilities
- Perform primary source verifications of licenses, certifications, and other required credentials.
- Monitor clinician credentials to ensure they remain current, active, and compliant with regulatory and organizational requirements.
- Maintain accurate credential information and supporting documentation in enterprise systems.
- Research and resolve licensure issues.
- Support internal and external audits by gathering and validating documentation.
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