Credentialing Specialist II

We need to produce HTML fragment with sections: headings

for sections like About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections that have real content. We must remove boilerplate: cookie/navigation/legal/EEO/equal-opportunity/scam-warning, duplicated lines, application instructions. Also remove repeated EEO sections, scam warning, etc. We need to preserve all substantive information: description, functional responsibilities, core working knowledge, behavioral competencies, minimum qualifications, preferred qualifications, pay ranges, benefits list. We must not repeat job title as heading (the page already shows it). No Job ID/requisition numbers. We must use

• for any list of duties/requirements/benefits, and

  for prose. We must not invent or summarize away detail. Must preserve all substantive info. We need to decide sections. Let's parse the posting: Intro paragraph: "Join us for an exciting career with the leading provider of supplemental benefits! Our Promise 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. In this role, you’ll be the gatekeeper for ensuring our healthcare partners meet regulatory requirements and industry best practices, directly impacting the quality of care delivered to patients. You’ll work closely with cross-functional teams to ensure provider data is accurate, up-to-date, and compliant. Your work helps shape a trusted network of healthcare providers, ensuring patients receive care from credentialed and qualified professionals." That's about the role. Could be "About the role" section. Then "Functional" bullet list: list of duties. Then "Core" list: Working knowledge of NCQA standards..., Knowledge of vision, dental or hearing industry..., Strong computer, data entry and clerical skills. Then "Behavioral" list: many traits. Then "Minimum Qualifications": Associate degree..., remote role internet requirement..., 3 years credentialing experience..., etc. Then "Preferred Qualifications": CPCS certified Then "Skills" section: talk about compensation, pay zones, FLSA status, benefits eligibility. Then "We Offer" list: benefits. Then "How To Stay Safe" etc (scam warning) - remove. Then repeated EEO - remove. Thus we need sections: About the role (intro), Responsibilities (functional duties), Requirements (maybe core knowledge + behavioral?), Qualifications (minimum qualifications), Preferred Qualifications, Pay (pay ranges), Benefits (we offer), maybe Skills? But the "Skills" section actually is about compensation and pay zones; we could treat as Pay section. The "Skills" heading in the posting is actually "Skills" but content is about compensation. According to rules, we should use heading "Skills" only if posting has real specific content for it. It does have content about compensation, pay zones, FLSA status, benefits eligibility. However we also have a separate "Benefits" section from "We Offer". So we could have sections: About the role, Responsibilities, Requirements (maybe combine core knowledge and behavioral as Requirements?), Qualifications (minimum), Preferred Qualifications, Pay, Benefits. But we need to follow instruction: Use

  for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). So we can use those exact headings if content exists. We need to decide what goes where. Let's extract content: About the role: intro paragraph. Responsibilities: Functional list (provider onboarding efforts, importing data from CVO, ensuring documentation complete, follow-up, primary source verifications, maintains provider info, responds to inquiries, utilizes templates, provides support to Credentialing Specialist I). That's a list. Requirements: Could be Core working knowledge and Behavioral traits? But those are more like knowledge/skills and behavioral competencies. Could be considered "Requirements". However we also have Minimum Qualifications separate. The instruction says we can have Requirements and Qualifications sections. Usually Requirements are skills/knowledge, Qualifications are education/experience. So we can put Core and Behavioral under Requirements. Qualifications: Minimum Qualifications (associate degree, remote internet, 3 years experience). Also maybe include "As this role is a remote role..." etc. Preferred Qualifications: CPCS certified. Pay: Pay ranges (Zone A/B/C), FLSA Status: Hourly/Non-Exempt, maybe mention eligibility for benefits, bonuses, commission. Benefits: list from "We Offer": Meaningful and challenging work..., Competitive compensation package., Excellent medical, dental, supplemental health, life and vision coverage..., Life and disability insurance., Great 401(k) with company match., Tuition assistance, paid parental leave and backup family care., Dynamic modern work environments..., Flexible time off, dress code, and work location policies..., Employee Resource Groups..., Social responsibility... We should not include duplicated lines. We need to format lists as

  • . For prose, use

    . We must not include headings with filler text. Ensure each heading has substantive content. We must not include any boilerplate like EEO, scam warning, etc. We must not include repeated sections. Now produce HTML fragment. Let's craft:

    About the role

    Join us for an exciting career with the leading provider of supplemental benefits! Our Promise 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. In this role, you’ll be the gatekeeper for ensuring our healthcare partners meet regulatory requirements and industry best practices, directly impacting the quality of care delivered to patients. You’ll work closely with cross-functional teams to ensure provider data is accurate, up-to-date, and compliant. Your work helps shape a trusted network of healthcare providers, ensuring patients receive care from credentialed and qualified professionals.

    Responsibilities

    • Facilitate provider onboarding efforts including, but not limited to importing data from CVO into applicable systems, ensuring required documentation is complete and accurate, ensure all submitted documentation aligns with industry and organizational standards.
    • Performs timely follow-up with providers on pending applications/information
    • Perform primary source verifications according to the departmental policies and NCQA standards when not completed by CVO.
    • Builds and accurately maintains provider information in various systems
    • Responds to inquiries regarding the status of provider’s application
    • Utilizes organizational templates to communicate with providers about the status of their application with the organization
    • Provides support to Credentialing Specialist I on functional responsibilities

    Requirements

    • Working knowledge of NCQA standards and payer credentialing standards.
    • Knowledge of vision, dental or hearing industry.
    • Strong computer, data entry and clerical skills.
    • Behavioral competencies: Collegiality – building strong relationships, approachable, helpful, ability to mentor and support team growth.
    • Initiative – readiness to lead or take action to achieve goals.
    • Communicative – ability to relay issues, concepts, and ideas to others easily orally and in writing.
    • Member-focused – going above and beyond to make members feel seen, valued, and appreciated.
    • Detail-oriented and thorough – managing and completing details of assignments without too much oversight.
    • Flexible and responsive – managing new demands, changes, and situations.
    • Critical Thinking – effectively troubleshoot complex issues, problem solve and multi‑task.
    • Integrity & responsibility – acting with a clear sense of ownership for actions, decisions and to keep information confidential when required.
    • Collaborative – ability to represent your own interests while being fair to those representing other or competing ideas in search of a workable solution for all parties.
    But the behavioral list is long; we could keep as separate
  • items each bullet. However the original had them as a paragraph with colon separated. We can split each as separate
  • . That preserves detail. But we need to be careful not to invent. The original text: "Behavioral Collegiality: building strong relationships on company-wide, approachable, and helpful, ability to mentor and support team growth. Initiative: readiness to lead or take action to achieve goals.Communicative: ability to relay issues, concepts, and ideas to others easily orally and in writing.Member-focused: going above and beyond to make our members feel seen, valued, and appreciated.Detail-oriented and thorough: managing and completing details of assignments without too much oversight.Flexible and responsive: managing new demands, changes, and situations.Critical Thinking: effectively troubleshoot complex issues, problem solve and multi-task.Integrity & responsibility: acting with a clear sense of ownership for actions, decisions and to keep information confidential when required.Collaborative: ability to represent your own interests while being fair to those representing other or competing ideas in search of a workable solution for all parties." We can split each into separate
  • with the trait and description. Now Qualifications (minimum):

    Qualifications

    • Associate degree or equivalent combination of education and experience.
    • As this role is a remote role, you are required to maintain internet service that allows you to complete your essential job duties without issue. Rates of 50 Mbps download and 10 Mbps upload while hardwired and not on a VPN are sufficient.
    • 3 years credentialing experience, preferably in a managed care setting.
    Preferred Qualifications:

    Preferred Qualifications

    • CPCS certified
    Pay:

    Pay

    • Base pay within the range is ultimately determined by a candidate's skills, expertise, or experience.
    • In the United States, we have three geographic pay zones. For this role, our current pay ranges for new hires in each zone are:
    • Zone A: $16.68‑$27.81
    • Zone B: $18.14‑$30.24
    • Zone C: $19.55‑$32.59
    • FLSA Status: Hourly/Non‑Exempt
    • This role may also be eligible for benefits, bonuses, and commission.
    But we need to keep proper nesting: can't have
    inside
    directly? Actually you can have
    • ...
      ...
    but better to keep separate lists. However instruction: Use
    • for any list of duties/requirements/benefits. For pay ranges, we could make a list. We'll just have a
      with each zone as
      • . Also include the sentence about base pay determination as a

        maybe. But we can keep as

      • . It's okay. Better:

        Base pay within the range is ultimately determined by a candidate's skills, expertise, or experience.

        then
        for zones. Similarly FLSA status and eligibility could be
        • . We'll decide. Benefits:

          Benefits

          • Meaningful and challenging work opportunities to accelerate innovation in a secure and compliant way.
          • Competitive compensation package.
          • Excellent medical, dental, supplemental health, life and vision coverage for you and your dependents with no wait period.
          • Life and disability insurance.
          • A great 401(k) with company match.
          • Tuition assistance, paid parental leave and backup family care.
          • Dynamic, modern work environments that promote collaboration and creativity to develop and empower talent.
          • Flexible time off, dress code, and work location policies to balance your work and life in the ways that suit you best.
          • Employee Resource Groups that advocate for inclusion and diversity in