Top 67 provider credentialing consultant Jobs in remote

Interim BCBA Provider/Consultant - Potential Contract-to-Hire or Perm. Clinical Director Opportunity
ABA Behavioral Service Clinic —Remote
- $1,500 a month
- Temporary
- Remote
- Background check
- Doctoral degree
- Mid-level
- Continuing education credits
- Professional development assistance
Quick Apply
8d
Enterprise Account Executive
Medallion —Remote
- $290,000 - $320,000 a year
- Remote
- 6 years
- Senior level
- Communication skills
Quick Apply
Clinical Provider IBCLC - EVENING SCHEDULE
SimpliFed —Remote
- Remote
- Background check
- HIPAA
- Clinic experience
Clinical Provider IBCLC - WEEKEND SCHEDULE
SimpliFed —Remote
- Remote
- Background check
- HIPAA
- Clinic experience
Solutions Consultant
Medallion —Remote
- $145,000 - $175,000 a year
- Remote
- 7 years
- Analysis skills
- Organizational skills
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Director, Global Security Standards and Compliance | Full-Time | Remote
Oak View Group —Remote
- $125,000 - $140,000 a year
- Extended hours
- 5 years
- Military
- Presentation skills
- Dental insurance
- 401(k)
Revenue Cycle Manager
Elevated Community Health —Remote
- $90,000 - $110,000 a year
- Full-time
- Computer literacy
- 3 years
- Bachelor's degree
- AD&D insurance
- Paid holidays
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8d
Platform Credentialing Specialist
Retina Consultants of America —Remote
- $45,000 - $65,000 a year
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
4d
Fractional Growth Program Architect — Provider Growth & Referral Development
Neolytix —Remote
- Part-time
- Remote
- System design
- Business development
- Travel
- Referral program
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Revenue Cycle-System Implementation Specialist
Retina Consultants of America —Remote
- Full-time
- Remote
- Background check
- Microsoft Outlook
- Customer service
- Health insurance
- Dental insurance
Quick Apply
9d
Consult-Liaison PMHNP - Weekends Tele
Integrated Psychiatric Consultants —Remote
- 12 hour shift
- Remote
- Psychiatry
- Adults
- Mid-level
- Dental insurance
- Vision insurance
Quick Apply
Indiana Clinical Provider NP/IBCLC
SimpliFed —Remote
- Full-time
- Remote
- Background check
- Nursing
- Doctoral degree
Consult-Liaison PMHNP (PT or FT Remote)
Integrated Psychiatric Consultants —Remote
- Part-time
- Remote
- Nursing
- Psychiatry
- Adults
- Dental insurance
- Vision insurance
Quick Apply
Case Intake Consultant
MDpanel —Los Angeles, CA
- $70,000 - $92,500 a year
- Full-time
- Remote
- Mid-level
- Bachelor's degree
- US work authorization
Quick Apply
16h
Internal Auditor II (Full-time Remote, North Carolina Based)
Alliance Health —Morrisville, NC
- $89,404 - $113,990 a year
- Full-time
- Remote
- Microsoft Excel
- CPA
- 3 years
- Disability insurance
- Health insurance
Consult-Liaison Psychiatrist (PT or FT Remote)
Integrated Psychiatric Consultants —Remote
- Part-time
- Remote
- Medicine
- Psychiatry
- BC/BE
- Dental insurance
- Vision insurance
Quick Apply
Consult-Liaison Psychiatrist - Weekends Tele
Integrated Psychiatric Consultants —Remote
- 12 hour shift
- Remote
- Medicine
- Psychiatry
- BC/BE
- Dental insurance
- Vision insurance
Quick Apply
Breast Pump Program Nurse Practitioner - Southeast Region Licensed (VIRTUAL)
SimpliFed —Remote
- $50 an hour
- Part-time
- Remote
- Background check
- Nursing
- Doctoral degree
Breast Pump Program Nurse Practitioner - 50 State Licensed (VIRTUAL)
SimpliFed —Remote
- $50 an hour
- Part-time
- Remote
- Background check
- Nursing
- Doctoral degree
Tele/Remote Consult-Liaison Psychiatrist - Part-time
Integrated Psychiatric Consultants —Remote
- Part-time
- Remote
- Medicine
- Psychiatry
- BC/BE
- Dental insurance
- Vision insurance
Quick Apply

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Interim BCBA Provider/Consultant - Potential Contract-to-Hire or Perm. Clinical Director Opportunity

ABA Behavioral Service Clinic
Remote

Quick Apply

Job Details

Temporary | Contract
$1,500 a month
8 days ago

Benefits

Continuing education credits
Professional development assistance
Flexible schedule

Qualifications

Doctoral degree
Working with individuals with autism
Psychology
BCBA
Applied Behavior Analysis
Data collection

Full Job Description

We are seeking an Interim BCBA Provider/Consultant to assist with initial ABA clinic setup, credentialing/enrollment support, and clinical program development. During the interim phase, this role will serve as a key clinical and compliance leader to help build the foundational framework for our organization.

For the right candidate, this temporary or consulting role may have the potential to transition into a permanent Clinical Director / Qualified Autism Service (QAS) Provider position once all required credentialing is complete and business needs are confirmed. If transitioned to the permanent QAS Provider role, the individual will be responsible for the clinical design, supervision, and oversight of Applied Behavior Analysis (ABA) and other behavioral health treatment services. Any permanent role would be subject to final approval, applicable employment requirements, and mutually agreed terms. This role may be structured as a temporary employee, consultant, or contract-to-hire arrangement depending on the final scope of work, classification analysis, and business needs.

Essential Duties and Responsibilities

Phase 1: Interim / Setup Duties (Current Need)

Partner with the Executive Director to support the organization's Medi-Cal enrollment and payer-readiness process.
Review, develop, and approve clinical policies and procedures to ensure organizational compliance with documentation, supervision, quality assurance, and billing standards.
Assist in selecting and configuring Electronic Health Record (EHR) software and data collection tools.
Develop templates for individualized behavioral treatment plans that are evidence-based, person-centered, and tailored to the member's clinical presentation.
Maintain awareness of applicable Medi-Cal, managed care, and other payer requirements affecting future service delivery.
Participate in periodic planning meetings regarding clinical operations, staffing readiness, and program development.

Phase 2: Potential Permanent Clinical Duties (Upon Clinic Opening)

Conduct behavioral-analytic assessments and other clinically appropriate evaluations to identify strengths, needs, target behaviors, and skill deficits.
Provide observation and direction to QAS Professionals and QAS Paraprofessionals to ensure services are implemented accurately.
Ensure delegated services are performed only by individuals who are appropriately qualified, trained, and supervised for their assigned role.
Provide clinical guidance, feedback, and support to staff regarding case conceptualization, intervention strategies, and documentation standards.
Provide parent, guardian, and caregiver training to support generalization of skills.
Complete timely, accurate, and objective documentation, including assessments, treatment plans, supervision notes, and progress updates.
Assist with authorization requests, concurrent reviews, peer-to-peer reviews, audits, and appeals as needed.

Qualifications

Required

Active Board Certified Behavior Analyst (BCBA) credential in good standing.
Master's or Doctoral degree in Behavior Analysis, Psychology, Special Education, Social Work, Counseling, Medicine, or a related clinical field.
Possess an active Type 1 National Provider Identifier (NPI) and be eligible to enroll (or currently enrolled) as a rendering provider in California Medi-Cal via the PAVE portal.
Ability to meet applicable Qualified Autism Service Provider requirements for the intended payer and service model.
Successful completion of background screening, exclusion checks, and any other screening required by law, payer, or organizational policy.

Preferred

Experience supporting clinic startup, payer enrollment, credentialing, or program development.
Highly Preferred: Experience with Medi-Cal Fee-For-Service, Medi-Cal managed care, regional center-related service environments, TRICARE, or other payer authorization and documentation requirements.
Knowledge of audit readiness, utilization review, and appeals processes.
Experience supervising mid-level staff, behavior technicians, or paraprofessionals in an ABA or behavioral health setting.

Professional Standards

Maintains confidentiality and protects client information in accordance with applicable privacy laws and organizational policy.
Maintains professional boundaries and ethical conduct at all times.

Important Note This position does not guarantee permanent employment. Any transition into a permanent Clinical Director or Qualified Autism Service Provider role will depend on credentialing/enrollment status, business needs, candidate performance, final approval, and mutually agreed terms.

Equal Employment Opportunity

We are an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, or any other protected characteristic as outlined by federal, state, or local laws.

Pay: $1,500.00 per month

Benefits:

Continuing education credits
Flexible schedule
Professional development assistance

License/Certification:

BCBA (Required)

Work Location: Remote

Quick Apply

Refine Your Search

provider credentialing consultant jobs in remote

Interim BCBA Provider/Consultant - Potential Contract-to-Hire or Perm. Clinical Director Opportunity

Enterprise Account Executive

Clinical Provider IBCLC - EVENING SCHEDULE

Clinical Provider IBCLC - WEEKEND SCHEDULE

Solutions Consultant

Director, Global Security Standards and Compliance | Full-Time | Remote

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Consult-Liaison PMHNP - Weekends Tele

Indiana Clinical Provider NP/IBCLC

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Consult-Liaison Psychiatrist - Weekends Tele

Breast Pump Program Nurse Practitioner - Southeast Region Licensed (VIRTUAL)

Breast Pump Program Nurse Practitioner - 50 State Licensed (VIRTUAL)

Tele/Remote Consult-Liaison Psychiatrist - Part-time

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