Credentialing Specialist I

🏢 Cisive · all Cisive jobs
📍 United States
📅 Posted 2026-08-22 · via Himalayas
🏷 Credentialing,Background-Screening,Compliance,Licensing,Data-Entry,Credentialing-Specialist,Entry-Level-Credentialing-Specialist,Provider-Credentialing-Specialist,Credentialing-Coordinator,Healthcare-Credentialing-Specialist,Entry-Level-Credentialing-Coordinator,Medical-Credentialing-Specialist
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It's fun to work in a company where people truly BELIEVE in what they're doing!
We're committed to bringing passion and customer focus to the business.

At Cisive , our vision is to make securing the right talent effortless. We provide technology-first background screening, identity verification, and continuous monitoring solutions that help organizations hire and manage their workforce with confidence.
Our Values

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Integrity First: Integrity guides every choice we make and every interaction we have. Whether working with colleagues or clients, we act with honesty, transparency, and accountability. We foster a culture of trust, respect, and ethical responsibility across our organization.

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Innovate Fearlessly: We challenge the status quo, embrace emerging technologies, and continuously refine our solutions to stay ahead of industry needs.

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Win Together: We break down barriers, share knowledge, and champion teamwork across departments, brands, and global offices to achieve our collective goals.

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Customer Obsessed: We go beyond transactional interactions to become trusted partners in risk mitigation and workforce management.

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Stay One Step Ahead: We proactively seek knowledge that helps us—and our clients—stay ahead of the curve.

Job Summary

This role is responsible for executing credentialing and licensing research, data validation, and compliance checks that support LicenseManager Pro and SanctionCheck operations. Specialists progress through four levels (I–IV) with increasing independence, cross-functional expertise, and mentorship responsibilities.

In addition to core credentialing work, this role must be able to handle data entry across multiple units and be cross trained in various processes to serve as a flexible resource based on evolving business needs. This role provides the opportunity to build a broad range of skills while contributing to different areas of the organization.

For candidates hired into Global Shared Services Philippines, onsite work in Quezon City with a shifting schedule is required .
Duties and Responsibilities

- Support the team by demonstrating proficiency in data management and assisting with foundational knowledge and skills across processes that connect to related departments.

- Contribute to the evolving needs of the business by exhibiting flexibility and adaptability in performing a variety of tasks across multiple workflows.

- Review and analyze documentation provided by vendors, regulators, and professional boards.

- Research, verify, and input credentialing/licensure information according to client requirements.

- Learn and apply compliance standards and regulatory rules to ensure data accuracy.

- Monitor and track case progress, escalating complex issues when appropriate.

- Document findings and maintain detailed case notes for leadership review.

- Support quality assurance through structured training and performance standards.

- Mentor and support peers at higher levels, providing task coordination and workflow guidance (Level III/IV).

Minimum Qualifications

- High school diploma or equivalent required; associate or bachelor’s degree preferred, for specific levels.

- Strong attention to detail and ability to follow structured processes.

- Demonstrated ability to navigate the internet for research activities.

- Experience in background screening, credentialing, or compliance research preferred.

- Proficiency with Microsoft Office Suite and case management systems.

- Strong written and verbal communication skills.

- Ability to multitask, meet deadlines, and work in a fast-paced environment.

- Progression through Levels II–IV requires demonstrated proficiency, initiative, and peer support contributions.

Levels

Credentialing Specialist I
Overview:

- Entry-level role focused on learning the foundational workflows of LicenseManager Pro and SanctionCheck.

- Works under close supervision while building familiarity with platforms, policies, an

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