Job Title: CVO & Credentialing Specialist – Delegated Credentialing
Company: Neolytix
Location: Chicago, IL | Hybrid or Fully Remote (US-based)
Experience Level: 4–6 Years
About the Role
Neolytix is seeking a CVO and Credentialing Specialist with deep expertise in delegated credentialing operations. You will manage end-to-end credentialing workflows for health system clients, perform primary source verifications, oversee quality control for our offshore operations team, and ensure NCQA compliance across all credentialing activities.
This role combines hands-on credentialing work with team oversight and client coordination—ideal for someone who wants operational ownership, not just task execution.
Key Responsibilities
Primary Source Verification & Credentialing
Perform PSV for licenses, board certifications, education, training, DEA, NPDB queries, OIG/SAM exclusion checks
Manage initial credentialing and recredentialing workflows per NCQA standards
Maintain audit-ready documentation for all verification activities
Quality Control & Team Oversight
Review and validate work performed by offshore credentialing analysts
Identify errors, provide feedback, and drive process improvements
Conduct spot audits to ensure accuracy and compliance
Credentialing Committee Support
Prepare provider files and committee packets for Credentials Committee review
Coordinate scheduling and documentation with client Medical Staff Offices
Document committee decisions and track follow-through items
NCQA Compliance & Audit Readiness
Maintain standards aligned with NCQA CVO requirements
Support internal and external audits as subject matter expert
Track turnaround times, clean file rates, and sanction monitoring metrics
Client Coordination
Serve as primary point of contact for assigned health system clients
Provide regular status updates and escalate issues appropriately
Build trusted relationships with client credentialing leadership
Requirements
Required:
4–6 years of medical credentialing or CVO operations experience
Experience with delegated credentialing arrangements
Strong working knowledge of NCQA credentialing and recredentialing standards
Experience preparing for and supporting NCQA audits
Exceptional attention to detail and organizational skills
Strong communication skills—comfortable with client executives and offshore teams
US-based
Preferred:
Certified Provider Credentialing Specialist (SPCS) certification
Health system credentialing experience (not just payer-side)
Experience with credentialing platforms (Cactus, Modio, MD-Staff, CredentialStream)
Experience training or supervising remote/offshore teams
Why Join Neolytix?
You'll own credentialing operations for health system clients, not just execute tasks. We value precision, professional growth, and building scalable healthcare services. This role offers visibility across client operations, payer requirements, and our delivery model—a strong foundation for credentialing leadership.
...service functions Perform general administrative tasks Skills and Qualifications Required Bilingual proficiency in Native Japanese and English Japanese - Proficient English - Read, Write, Speak All qualified applicants will receive consideration for...
...If youre looking to launch or grow your career in medical device sales, our client is seeking a Medical Device Sales Representative to support a high-profile territory in Atlanta. This is a field-based role offering hands-on exposure to the OR, surgeon interaction, and...
...Starting Hourly Rate / Salario por Hora Inicial: $19.75 USD per hour ALL ABOUT TARGET Working at Target means helping all families discover the joy of everyday life. We bring that vision to life through our values and culture. Learn more about Target here. ALL...
...Transporting & Delivery: Transport materials within the facility. May operate a company vehicle for local pickup/delivery. Shipping: Load and unload trailers in compliance with DOT regulations. Complete and verify accuracy of shipping records. Compliance & Safety: Follow...
...other restrictions. The Estimator will fully understand the major business components and implications specific to estimating and cost control for Construction Companies while ensuring compliance with the Henkels & McCoy established Project Management Methodology and...