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Quality & Credentialing Specialist at Vynca. Remote Location: Remote - United States. Join the dynamic journey at Vynca, where we're passionate about transforming care for individuals with complex needs.. We’re more than just a team; we're a close-knit community. Our shared commitment to caring for each other and those we serve is what sets us apart. Guided by our unwavering core values: Excellence, Compassion, Curiosity, and Integrity, we forge paths of success together. Join us in this transformative movement where you can contribute to making a profound difference every day.. At Vynca, our mission is to provide comprehensive care for more quality days at home.. The . Quality and Credentialing Specialist . is responsible for supporting the organization’s compliance, provider credentialing, and quality initiatives. This multifaceted role ensures that all clinical staff are properly credentialed, the organization maintains active and compliant licenses, and that internal quality improvement activities are effectively tracked and supported. This role works closely with the Compliance, Clinical Operations, and Administrative teams to ensure regulatory readiness and operational efficiency.. In addition to quality initiatives, the Quality and Credentialing Specialist helps ensure the organization’s operations are compliant with applicable laws, regulations, accreditation standards, and internal policies. This includes maintaining systems to monitor compliance, assisting with internal audits and investigations, and helping drive corrective actions that mitigate risk. The role requires a proactive, detail-oriented individual who can work collaboratively across departments to promote a culture of accountability, safety, and continuous improvement.. What you'll do. Credentialing & Provider Support:. Maintain and monitor provider credentialing files (licenses, DEA, malpractice, NPIs, board certifications, etc.).. Coordinate initial credentialing and re-credentialing with payers and regulatory bodies.. Track expirations and manage renewal workflows for all clinical staff credentials.. Update provider data in internal systems and external platforms (e.g., CAQH, PECOS).. Assist with credentialing aspects of onboarding/offboarding of clinical staff.. Quality & Compliance:. Assist in the implementation, tracking, and coordination of the Quality Assurance and Performance Improvement (QAPI) program.. Support the logistics of the Quality Committee and Compliance Committee, such as scheduling Committee meetings, preparing agendas, distributing materials, and recording meeting minutes.. Support the full audit lifecycle, including preparation, coordination, documentation, submission, and follow-up for audits conducted by state, federal, accrediting agencies, and payer organizations. This includes quality, clinical, compliance, and credentialing audits.. Coordinate documentation and preparation for regulatory and accreditation surveys (e.g., CMS, accreditation, state licensing).. Collect and organize quality data for reporting and performance improvement initiatives.. Maintain dashboards and tracking systems to monitor key quality indicators and support data-driven decision-making.. Maintain up to date and clear logs and tracking systems for internal and external audits, surveys, policy reviews, and overall compliance activities.. Track incidents, trends, and support root cause analysis and corrective actions.. Assist with maintaining and updating policies, procedures, and other quality and compliance documentation to ensure compliance with current regulations and best practices.. Support the management of patient grievances and complaints, ensuring timely, respectful resolution and identifying trends to improve patient experience and care quality.. Track and analyze grievances and complaints to identify trends and areas for process improvement and risk mitigation.. Entity Licensing & Enrollment:. Manage the application, renewal, and ongoing compliance for all entity-level licenses (e.g., agency licenses, CLIA, DME registrations).. Coordinate Medicare and Medicaid provider enrollment and revalidation processes.. Maintain organized and up-to-date licensing records and ensure timely renewals.. Serve as a liaison with regulatory agencies, payers, and licensing authorities for licensing purposes.. Other General Duties:. Maintain organized, audit-ready records.. Collaborate with internal departments to streamline workflows and improve regulatory preparedness.. Stay informed on state and federal regulatory requirements affecting provider credentialing and entity licensing.. Support ad-hoc compliance and quality projects as needed.. Your experience & qualifications. Associate’s or Bachelor’s degree in healthcare administration, public health, business administration, or a related field (Bachelor’s preferred).. Certification in credentialing or compliance (e.g., CPCS, CPMSM, CHC) is a plus.. Minimum of 2 years of experience in credentialing, licensing, compliance, or healthcare quality support.. Familiarity with CMS, Medicaid, and state licensing requirements.. Knowledge of CAQH, PECOS, NPPES, and provider enrollment portals is a plus.. Proactive and resourceful problem-solver.. Strong sense of accountability and ethical standards.. Able to work independently and collaboratively across teams.. Comfortable handling confidential information with discretion.. Additional Information. The hiring process for this role consists of applying, followed by a phone screen, online assessment(s), interview(s), an offer, and background/reference checks.. Background Screening: A background check, which may include a drug test or other health screenings depending on the role, will be required prior to employment.. Job Description Scope: This job description is not exhaustive and may include additional activities, duties, and responsibilities not listed herein.. Vaccination Requirement: Employees in patient, client, or customer-facing roles must be vaccinated against COVID-19 and influenza. Requests for religious or medical accommodations will be considered but may not always be approved.. Employment Eligibility: Compliance with federal law requires identity and work eligibility verification using E-Verify upon hire.. Equal Opportunity Employer: At Vynca Inc., we embrace diversity and are committed to fostering an inclusive workplace. We value all applicants regardless of race, color, religion, age, national origin, ancestry, ethnicity, gender, gender identity, gender expression, sexual orientation, marital status, veteran status, disability, genetic information, citizenship status, or membership in any other protected group under federal, state, or local law.