Curana Health is a provider of value-based primary care services for the senior living industry, including skilled nursing facilities, assisted & independent living communities, Memory Care units, and affordable senior housing sites. Our 1,000+ clinicians serve more than 1,500 senior living community partners across 34 states, and Curana participates in various innovative CMS programs (including owned-and-operated Accountable Care Organizations and Medicare Advantage plans). With rapid year-over-year growth since our founding in 2021, Curana is setting a new standard in innovative care delivery for seniors with high-risk, complex clinical needs, many of whom have been historically underserved by the healthcare system. Our mission: To radically improve the health, happiness and dignity of senior living residents.

The Credentialing Coordinator plays a vital role in ensuring the provider network meets all regulatory, quality, and safety standards. This position supports the Credentialing Committee by managing key administrative functions, maintaining provider confidentiality, and facilitating timely and accurate communication to help safeguard organizational integrity and member safety.

• Serve as a liaison between Medical Directors and providers, managing confidential and high-level communications.
• Track and maintain records of all credentialing-related correspondence for audit readiness and reporting.
• Draft and manage written communications (emails, letters) and conduct phone outreach as needed to clarify information on behalf of Medical Directors.
• Ensure distribution of time-sensitive notifications and updates within required deadlines.
• Prepare and present provider files to the Credentialing Committee on a bi-monthly basis.
• Issue formal communications to providers, including approval notices, requests for additional documentation, and termination letters based on committee decisions.
• Provide timely updates and follow-ups regarding credentialing decisions and status changes.
• Accurately batch update provider records in credentialing systems based on committee outcomes (approved, pended, or denied).
• Organize and prepare meeting agendas and record detailed minutes for Credentialing Committee meetings.
• Coordinate bi-monthly committee meetings and collaborate with stakeholders to support a consistent flow of communication among board members, Medical Directors, and providers.
• Review credentialing applications (including CAQH and state-specific forms) for completeness and accuracy, ensuring timely processing and compliance with internal benchmarks.
• Request and verify missing or unclear provider information through direct communication.
• Input and maintain accurate provider information in credentialing software.
• Perform continuous monitoring of provider credentials such as licenses, DEA certifications, and other expirables.
• Review and process state/federal sanctions and exclusion reports to ensure provider eligibility.
• Identify and terminate providers who no longer meet credentialing standards based on ongoing monitoring or review findings.
• Review and act upon NPDB (National Practitioner Data Bank) Continuous Query reports, summarizing reports for committee review.
• Compile and submit data for quarterly credentialing reports used in Quality Improvement Committee meetings.

Knowledge, Skills, and Abilities
The Credentialing Coordinator is responsible for overseeing specific aspects of the organization’s credentialing process for practitioners and healthcare delivery organizations, in accordance with Curana Health’s policies and procedures. This includes coordinating committee-related activities, managing documentation, facilitating communication, and supporting internal credentialing operations while maintaining strict confidentiality of provider data.

Skills & Requirements

• College Degree Preferred
• Proficient in Microsoft Office Word and Excel
• Knowledge of credentialing platforms and systems
• Credential Specialist Certification Preferred
• Must be proficient with a variety of relevant computer programs and have excellent attention to detail.
• Knowledge of medical credentialing and privileging procedures and standards
• Excellent verbal and written communication skills

Curana Health is dedicated to the principles of Equal Employment Opportunity. We affirm, in policy and practice, our commitment to diversity. We do not discriminate on the basis of actual or perceived race, color, creed, religion, national origin, ancestry, citizenship status, age, sex or gender (including pregnancy, childbirth and related medical conditions), gender identity or gender expression (including transgender status), sexual orientation, marital status, military service and veteran status, physical or mental disability, protected medical condition as defined by applicable or state law, genetic information, or any other characteristic protected by applicable federal, state and local laws and ordinances.

The EEO policy applies to all personnel matters as outlined in our company policy including recruitment, hiring, transfers, and general treatment during employment.

*The company is unable to provide sponsorship for a visa at this time (H1B or otherwise).