The Provider and Health Plan Operations Specialist supports provider credentialing, payer contracting, and operational execution across multiple states and health plans. This role reports to the Senior Vice President of Provider and Health Plan Operations. Complete credentialing applications and gather required documentation (licenses, certifications, malpractice insurance, NPIs, tax documents) Track application status, follow up with payers, and maintain organized credentialing files Serve as a point of contact for providers on credentialing and enrollment matters Navigate payer-specific systems and portals including CAQH ProView and Availity Build relationships with payer representatives and document all communications Support quality assurance initiatives and maintain compliance documentation