Support the full credentialing lifecycle, from initial applications to renewals and ongoing maintenance.
Manage provider enrollment processes with payers, including application submission, follow-up, and status tracking.
Keep provider records accurate and audit-ready while ensuring compliance with regulatory standards.
Thyme Care is a market-leading value-based oncology care enabler that partners with health plans, providers, and employers to improve outcomes for people with cancer. It is a tech-native startup that values human connection, diversity, and inclusion.
Serve as a supportive point of contact for onboarding providers, guiding them through paperwork and expectations.
Collect, verify, and review provider credentials, applications, and CAQH profiles for accuracy and completeness.
Maintain tracking records, update internal databases, and collaborate with cross-functional teams to meet provider start dates.
Privia Health is a technology-driven, national physician enablement company that partners with medical groups, health plans, and health systems to optimize practices and improve patient care. The company is led by top industry talent and exceptional physician leadership, with a culture that encourages employees to bring their whole selves to work.
Execute day-to-day provider enrollment, credentialing, and licensing tasks under the guidance of Specialists and Team Leads.
Accurately input, maintain, and update provider data across credentialing databases and internal systems.
Identify and escalate issues, discrepancies, or complex cases to the appropriate team member in a timely manner.
Allara is a comprehensive women’s health provider specializing in expert, longitudinal care for hormonal, metabolic, and reproductive health. It is one of the fastest-growing women’s health platforms in the U.S., with a mission-driven, collaborative culture focused on bridging gaps in healthcare.
Lead end-to-end provider onboarding and offboarding, including license pathways, compact assessments, and payer enrollments.
Oversee multi-state licensing, credentialing, and payer enrollment operations to prevent lapses and ensure compliance.
Manage and coach the L&C team, drive process improvements, and accelerate onboarding timelines.
Synapticure is a specialty care and life sciences company focused on neurodegenerative diseases like Alzheimer's, Parkinson's, and ALS. Founded by patients and caregivers, it operates a remote-first, 50-state clinical network and research engine with a culture of empathy, curiosity, and action.
Complete credentialing and re-credentialing applications for physicians, ancillary providers, and facilities with third-party payers and governmental programs.
Partner with client liaisons and payers to manage enrollment status, follow up on applications, and communicate updates to providers and clients.
BerryDunn is a professional services firm providing tax, advisory, and consulting services to businesses, nonprofits, and government agencies across the US. The firm is known for its client-centered, people-first culture and commitment to diversity, learning, and well-being.
Prepare and review credentialing and recredentialing applications, provider updates, termination letters, and TIN change documents.
Conduct biweekly follow-up with payers, track application progress, and maintain detailed records in internal systems and dashboards.
Support team projects such as new provider onboarding, payer roster updates, and quality reviews while protecting confidential information.
Specialty Dental Brands is a dental support organization that partners with pediatric dentistry, orthodontics, and oral surgery practices across the country, empowering teams with technology, resources, and support. The company values a people-first culture, collaboration, continuous learning, and creating positive experiences for providers, practices, and employees.
Manage end-to-end facility credentialing and privileging for providers across SNFs nationwide.
Prepare and track credentialing applications, facility packets, and compliance files.
Coordinate with facilities to resolve credentialing, access, and EMR issues in a timely manner.
Limitlessli specializes in recruiting, hiring, and managing high-caliber remote staff for healthcare facilities, leveraging a global network to connect clients with qualified professionals. The company offers a flexible remote work environment where employees collaborate with an international team and contribute to a growing business.
Manage day-to-day credentialing workflows and lead data analysis projects for payer enrollment.
Conduct routine audits of task boards and triage inquiries to improve process efficiency.
Develop and distribute reporting on credentialing status for cross-functional stakeholders.
Natera is a global leader in cell-free DNA testing, dedicated to oncology, women's health, and organ health. The company comprises highly dedicated professionals from world-class institutions, who care deeply for their work and each other, fostering a culture that values hard work and growth.
Manage a queue of licensing requests, ensuring accuracy and compliance with state requirements.
Review and quality-check license applications and primary source verifications, submitting them as needed.
Communicate with providers, clients, and internal teams to resolve deficiencies and support timely licensure.
Medallion builds a provider operations platform that automates licensing, credentialing, payer enrollment, and compliance monitoring for healthcare organizations. As one of the fastest-growing healthcare technology companies, Medallion is backed by $130M in funding from top investors and recognized as a great place to work.
Manage primary source verification and credentialing processes for healthcare professionals, including licensure verification and databank queries.
Compile and assemble qualification packages for review by the customer's Security & Credentialing Office.
Supervise support staff and ensure compliance with DHA directives and credentialing procedures.
Planned Systems International (PSI) provides healthcare credentialing and privileging support for mission-critical programs. The company offers a competitive total compensation package including medical, dental, vision, 401(k) matching, and professional development opportunities.
Supports credentialing and enrollment teams by managing data across Monday.com, Airtable, and Credential Stream.
Drives process improvement initiatives and develops progress reports to keep stakeholders informed.
Collaborates with enterprise stakeholders to maintain accurate data sharing and best practices.
United Vein & Vascular Centers is a leading provider of comprehensive vein and vascular care with over 60 clinics across multiple states. The company emphasizes minimally invasive procedures, cutting-edge technology, and a patient-centric approach to deliver superior outcomes.
Own customer issues from start to finish while investigating and troubleshooting payer enrollment and credentialing inquiries.
Manage a high-volume support queue with timely, accurate, and thoughtful email responses.
Collaborate with Customer Success, Product, Engineering, and Operations to resolve complex issues and improve processes.
Medallion builds a provider operations platform that automates licensing, credentialing, payer enrollment, and compliance monitoring for healthcare organizations. It is a fast-growing healthcare technology company backed by $130M in funding, recognized as a top startup and a Glassdoor Best Place to Work.
Supervise and train the credentialing associate team to ensure high performance.
Document and refine insurance credentialing workflows and processes.
Collaborate with the Credentialing Team Lead and partners to monitor metrics and resolve issues.
BetterHelp is the world's largest online therapy service, connecting millions of people with licensed therapists to make mental healthcare more accessible. As part of Teladoc Health, it offers startup energy with the support of a large company and a diverse, collaborative culture.
Prepare, submit, and track payer applications for new health plan partnerships, including follow-up, deficiency resolution, and revalidations.
Audit provider directory listings and reconcile rosters against payer records to ensure members can actually find and access care.
Partner with Revenue Cycle to triage denials, research payer policy, and codify requirements into durable internal references.
Allara is a comprehensive women's health provider offering expert, longitudinal care for hormonal, metabolic, and reproductive health. Trusted by thousands of women and one of the fastest-growing women's health platforms in the U.S., it fosters a collaborative, mission-driven culture focused on improving patient care.
Process enrollment and billing tasks through multiple channels while managing an assigned caseload.
Develop a comprehensive understanding of Oscar's enrollment and billing processes, tools, and regulations.
Monitor work-in-progress, escalate issues, and support process improvement initiatives.
Oscar is a health insurance company built around a full-stack technology platform and a relentless focus on serving its members. Founded in 2012, Oscar behaves like a doctor in the family, and fosters a culture where people can be their most authentic selves.
Oversee credentialing workflows, quality, and compliance standards to ensure provider satisfaction and regulatory adherence.
Develop effective credentialing strategies based on data analysis, regulatory requirements, and operational observations.
Manage credentialing staff, provide coaching and feedback, and drive turnaround time improvement initiatives.
Sutherland is a global digital transformation company combining AI, automation, cloud engineering, and advanced analytics for iconic brands. It creates over 200 inventions and pairs human expertise with AI to unlock performance and deliver measurable results.
Process referrals and prior authorizations, ensuring accurate and timely documentation.
Collaborate with clinical teams, physician offices, and insurance companies to resolve authorization issues.
Monitor denial reports, manage referral tracking, and communicate decisions to providers, staff, and patients.
Baystate Health is an integrated healthcare system serving western Massachusetts. With 12,000 employees and a community-focused culture, it includes five hospitals and offers career growth.
Provides administrative support to clinical teams including building medical management records and managing authorizations.
Conducts fax and telephonic outreach to members and providers for status updates and engagement.
Supports compliance monitoring and documentation in the medical management system.
Capital Blue Cross is a health insurance provider dedicated to improving the health and well-being of its members and communities. They are recognized as one of the "Best Places to Work in PA" with a culture focused on support, flexibility, and community involvement.
Oversee delegated audits related to UM, Credentialing, Claims, Enrollment, and Appeals processes to ensure compliance with payer contracts.
Educate staff, update policies and workflows, and act as a liaison between payers and local market leadership during audits.
Operationalize regulatory communications from governing bodies and document process changes for upstream and downstream teams.
Dignity Health Management Services offers integrated management and business services to healthcare providers, focusing on managed care administrative and clinical services to contain costs and improve quality. It is part of CommonSpirit Health, a large health system with a mission-driven culture centered on community and patient care.