Credentialing Support Associate III

Are you detail-oriented and passionate about ensuring accuracy and compliance in healthcare provider data Do you enjoy working in a fast-paced environment where organization communication and problem-solving are critical to success

Guardian is seeking a Credentialing Support Associate III to support the provider credentialing and recredentialing process by maintaining accurate provider records coordinating provider outreach and ensuring compliance with regulatory and organizational this role you will work closely with providers and internal stakeholders to validate information resolve discrepancies and support high-quality provider network operations.

A highly organized professional with exceptional attention to detail and a commitment to accuracy. You thrive in structured processes enjoy managing multiple priorities and can effectively communicate with providers to obtain critical information and resolve issues. You understand the importance of compliance and take pride in maintaining accurate records while delivering excellent customer service.

• High school diploma or equivalent; Associates or Bachelors degree preferred
• Experience supporting provider credentialing healthcare operations provider enrollment or administrative processes
• Experience maintaining and updating data within databases or business systems
• Strong attention to detail and commitment to data accuracy
• Excellent verbal and written communication skills
• Ability to follow established processes and regulatory requirements
• Strong organizational and time management skills
• Ability to manage multiple priorities in a deadline-driven environment
• Proficiency with Microsoft Office applications including Excel and Outlook

• Experience with provider credentialing and recredentialing processes
• Familiarity with NCQA CMS state or other healthcare regulatory requirements
• Experience conducting primary source verification activities
• Experience working with credentialing software or provider management systems
• Knowledge of healthcare provider networks and credentialing standards

• Maintain accurate provider information by entering updating and auditing data within credentialing systems.
• Coordinate recredentialing activities including distributing recredentialing communications and monitoring provider responses.
• Communicate with providers to obtain missing documentation resolve discrepancies and ensure complete credentialing files.
• Conduct primary source verification activities for initial credentialing and recredentialing applications in accordance with regulatory requirements and company standards.
• Track and follow up on outstanding credentialing requirements to support timely processing and compliance.
• Partner with internal stakeholders to ensure provider records are accurate complete and compliant with organizational policies.
• Support continuous improvement efforts that enhance credentialing processes and data quality.

As our Credentialing Support Associate III you will report to the Credentialing leadership team.

The primary location for this position is Remote with regional office in Newport Beach CA.

$23.00 per hour
Annualized Salary: Approximately $47840

Salary Range:

The salary range reflected above is a good faith estimate of base pay for the primary location of the position. The salary for this position ultimately will be determined based on the education experience knowledge and abilities of the successful addition to salary this role may also be eligible for annual sales or other incentive compensation.

Our Promise

At Guardian youll have the support and flexibility to achieve your professional and personal goals. Through skill-building leadership development and philanthropic opportunities we provide opportunities to build communities and grow your career surrounded by diverse colleagues with high ethical standards.

Inspire Well-Being

As part of Guardians Purpose to inspire well-being we are committed to offering contemporary supportive flexible and inclusive benefits and resources to our colleagues. Explore our company benefits at apply to full-time eligible employees. Interns are not eligible for most Company benefits.

Equal Employment Opportunity

Guardian is an equal opportunity employer. All qualified applicants will be considered for employment without regard to age race color creed religion sex affectional or sexual orientation national origin ancestry marital status disability military or veteran status or any other classification protected by applicable law.

Accommodations

Guardian is committed to providing access equal opportunity and reasonable accommodation for individuals with disabilities in employment its services programs and also provides reasonable accommodations to qualified job applicants (and employees) to accommodate the individuals known limitations related to pregnancy childbirth or related medical conditions unless doing so would create an undue hardship. If reasonable accommodation is needed to participate in the job application or interview process to perform essential job functions and/or to receive other benefits and privileges of employment please contact . Please note: this resource is for accommodation requests only. For all other inquires related to your application and careers at Guardian refer to the Guardian Careers site.

Visa Sponsorship

Guardian Life is not currently or in the foreseeable future sponsoring employment-based visas (e.g. such as an H-1B). In order to be a successful applicant you must be legally authorized to work in the United States without the need for employer sponsorship/support now or at any time in the future.

Notice Regarding Guardians Use of Artificial Intelligence in Recruitment

As part of Guardians job application process Guardian may use artificial intelligence tools (AI Tools) to automate the sorting and filtering of information provided by applicants as part of its preliminary screening. This preliminary screening may be used to help identify applicant materials and resumes relative to their indication that the applicant meets the requirements for the specific job for which they are applying as specified in the listing posted on Guardians jobs website (Careers at Guardian at At Guardian we do not use AI Tools to substantially assist or replace human judgment or discretionary decision making in our hiring process. All hiring decisions will be made by Guardian colleagues.

Please be aware that if you apply for a specific position with Guardian you will have the choice of opting out of Guardians use of AI Tools during the job application process. If you would like to request an alternative process that does not utilize AI Tools or would like to request a reasonable accommodation within ten business days of your position application you must email your request to making sure to provide your name and job requisition identification number. Guardian will retain your applicant materials and resume and all information therefrom in accordance with Guardians document retention policy a copy of which you may request via .

Additionally at applicable times Guardian will make public the most recent bias audit results for such AI tools which may be found here.

Current Guardian Colleagues: Please apply through the internal Jobs Hub in Workday.