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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.
• Generate reports, track credential status, and escalate compliance risks as appropriate.
• Respond to inquiries from clinicians, leaders, and business partners regarding licensure requirements.
• Participate in process improvement initiatives to enhance efficiency, quality, and compliance outcomes.

What makes you successful

• Strong attention to detail and organizational skills.
• Effective written and verbal communication skills.
• Ability to manage multiple priorities and meet deadlines.

Use your skills to make an impact
 

Required Qualifications

• Associate degree or equivalent experience in healthcare administration, credentialing, compliance, or related field.
• Proficiency with Microsoft Office and business systems.

Preferred Qualifications

• Experience in healthcare credentialing, licensure monitoring, compliance, or audit support.
• Knowledge of regulatory and accreditation requirements.
• Experience working with large data sets, reporting tools, and credentialing systems.

Additional information:

• This role is part of the Variable Staffing Pool( VSP), which pays at an hourly rate. Variable Staffing Pool Humana associates work part to full time hours based on business need. VSPs are not eligible for associate bonuses and receive limited benefits, which are effective upon hire. The hours for this role are generally aligned based on the associate and business task at hand.
• This role will report to a Credentialing Manager.
• This role is fully remote within the US.
• This role is an individual contributor with no direct reports.

Work at Home Requirements: To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

 

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

 

Scheduled Weekly Hours

1

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

 

$48,900 - $66,200 per year

 

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers benefits for limited term, variable schedule and per diem associates which are designed to support whole-person well-being. Among these benefits, Humana provides paid time off, 401(k) retirement savings plan, employee assistance program, business travel and accident.

Application Deadline: 09-14-2026

About us
 

About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com.

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Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.