Senior Credentialer

Porter is hiring a Senior Clinical Credentialer to join our Team! Porter blends the power of analytics with a compassionate approach to care. As a leading healthcare IT and services platform, we focus on care and coverage coordination to improve outcomes and member experiences. We deliver not only information but understanding and peace of mind for your members. Guided by robust AI, Porter's Care Guide Teams help members navigate the healthcare system with empathy, ensuring they receive the right support tailored to their unique needs. Our expert clinicians provide in-home assessments, including lab and diagnostic testing, to close care gaps and improve quality, cost, and overall member well-being. Position Overview We are seeking a Senior Clinical Credentialer to take a leading role in managing and overseeing Porter's clinical credentialing operations. This position will be responsible for ensuring that healthcare providers meet all applicable credentialing, licensing, regulatory, and compliance requirements before and throughout their engagement with Porter. The Senior Clinical Credentialer will manage the end-to-end credentialing and recredentialing process for a diverse population of healthcare professionals, including Nurse Practitioners, Registered Nurses, Licensed Practical Nurses, and other clinical providers as needed. This individual will serve as a subject-matter expert on credentialing requirements, identify potential compliance issues, and work proactively to ensure providers remain fully credentialed and eligible to deliver care. In addition to credentialing responsibilities, this role will partner closely with Clinical Operations, Human Resources, Compliance, and other internal teams to support a seamless provider onboarding experience. The Senior Clinical Credentialer will help develop and improve credentialing workflows, maintain accurate provider records, monitor expirables, and ensure documentation is complete, accurate, and audit-ready. The ideal candidate is highly organized, self-motivated, and comfortable working independently in a fast-paced healthcare environment. You have strong knowledge of clinical credentialing standards and processes, exceptional attention to detail, and the ability to manage multiple providers and deadlines simultaneously. What You'll Do • Own and manage the full lifecycle of clinical credentialing for Porter’s clinical workforce. • Verify provider qualifications, including licenses, certifications, education, training, work history, malpractice coverage, and other required credentials. • Conduct primary source verification and maintain accurate, complete, and audit-ready provider credentialing files. • Manage credentialing requirements for Nurse Practitioners, Registered Nurses, Licensed Practical Nurses, and other clinical professionals. • Monitor provider licenses, certifications, registrations, malpractice insurance, and other time-sensitive credentials to ensure compliance with applicable requirements. • Proactively track expirables and initiate renewal processes well in advance of expiration dates. • Identify and resolve credentialing discrepancies, gaps, and compliance issues, escalating concerns when appropriate. • Coordinate provider enrollment and credentialing activities with health plans, payers, healthcare organizations, and other external partners as needed. • Guide clinical providers through credentialing, onboarding, and related compliance requirements, serving as a knowledgeable resource throughout the process. • Partner with Clinical Operations, HR, Compliance, and leadership to ensure providers are appropriately credentialed and cleared before providing patient care. • Maintain accurate provider information and credentialing documentation within internal systems and databases. • Develop, document, and continuously improve credentialing workflows, processes, checklists, and standard operating procedures. • Monitor credentialing timelines and performance metrics…