Source Job

US

  • Lead a pod of Credentialing or Enrollments Associates, setting priorities and ensuring quality.
  • Own complex payer enrollment and credentialing programs end to end.
  • Build scalable workflows and use metrics to manage capacity and execution risk.

Credentialing Payer Enrollment Healthcare Operations Process Improvement People Leadership

20 jobs similar to Credentialing / Enrollment Lead

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US

  • Contribute directly to improving Provider experience through timely credentialing and enrollment.
  • Collaborate with cross-functional teams to support new payer launches and share operational insights.
  • Help educate credentialing associates as new processes and payers are introduced.

Rula is a remote-first company that makes mental health care more accessible by streamlining provider onboarding. The team values diversity, equity, and inclusion, fostering a culture of belonging.

US 4w PTO 14w maternity 12w paternity

  • Manage end-to-end credentialing and recredentialing processes for healthcare providers.
  • Coordinate payer enrollment applications and ensure timely processing across commercial and government payers.
  • Maintain accurate credentialing files in compliance with regulatory standards and support cross-functional teams.

Knownwell is a weight-inclusive healthcare provider offering obesity care, primary care, nutrition counseling, and health coaching. Backed by $50M in funding from investors like CVS Health Ventures and a16z, they are scaling fast to expand access to evidence-based obesity care nationwide.

US

  • Own day-to-day execution for the Licensing New Bets pod, translating licensing strategy into clear operating plans and overseeing virtual-assistant capacity.
  • Build scalable licensing workflows for new provider types, improve speed and provider experience, and ensure accurate, compliant execution as Nourish grows toward 25,000+ providers.
  • Manage complex licensing programs end to end, from research through submission, tracking, issue resolution, renewals, and reporting, while using metrics to manage capacity and quality.

Nourish is the largest dietitian-led metabolic health clinic, building an AI-native digital health system that matches patients with dietitians, physicians, medications, lab testing, and AI agents to deliver insurance-covered care across all 50 states. The company has completed millions of appointments, tripled year-over-year, and raised $100M in Series C funding, totaling $215M, with a culture that values talent density, hard problems, candid feedback, and resilience without ego.

US Unlimited PTO

  • Manage end-to-end credentialing and payer enrollment activities with minimal supervision.
  • Ensure provider readiness, accurate records, and compliant documentation across multiple systems.
  • Serve as a knowledgeable resource for less experienced team members and support cross-functional processes.

Our partner is a healthcare organization focused on credentialing and provider network management. They offer a mission-driven, inclusive environment with a focus on collaboration and continuous learning.

US

  • Manage provider credentialing, licensing, and payer enrollment activities from application through completion.
  • Research and resolve non-routine credentialing and provider data discrepancies, ensuring compliance.
  • Maintain accurate provider records, monitor deadlines, and communicate with stakeholders to prevent delays.

The company is a partner organization that manages hiring for healthcare credentialing roles. They operate remotely and foster a collaborative, deadline-driven culture focused on compliance and operational excellence.

US

  • Lead and develop a credentialing team, overseeing provider credentialing, licensing, and privileging processes.
  • Manage operational workflows, conduct audits, and implement improvements to ensure compliance and efficiency.
  • Collaborate with internal leadership, providers, and external clients to resolve issues and maintain high service levels.

Jobgether is an AI-powered recruitment platform that connects candidates with job opportunities through objective matching. It offers a fully remote, collaborative work environment with a focus on employee development and belonging.

US Unlimited PTO

  • Credential providers end-to-end, managing high volumes of caseloads.
  • Pioneer best practices and new workflows for provider credentialing.
  • Collaborate cross-team to improve processes and policies.

Verifiable is a provider credentialing and network monitoring platform delivering AI, API, and software solutions to healthcare organizations. The company has grown to ~150 employees in 5 years, with a collaborative, high-ownership culture.

US

  • Own the end-to-end cycle of licensing applications for new and existing providers across the U.S., ensuring all requirements are met.
  • Develop SOPs for new state or provider licensing and streamline existing processes with automation and optimizations.
  • Provide direct support to providers and collaborate with cross-functional teams on licensing communications and updates.

Nourish is an AI-native digital health system that matches patients with Registered Dietitians, physicians, medications, and lab testing to deliver insurance-covered care across all 50 states. Founded four years ago, the company has completed millions of appointments, tripled year-over-year, and raised $215M in funding, seeking high-talent, resilient, and ego-free individuals.

$145,000–$155,000/yr
US

  • Lead the strategy to secure national payor agreements, moving from state-by-state enrollment to national in-network contracts with major commercial payors.
  • Manage a Credentialing Specialist, setting SLAs and KPIs for credentialing turnaround time, while overseeing payor enrollment and claim denial resolution.
  • Partner with Clinical Ops and Revenue Cycle to align provider onboarding with credentialing lead times and national agreement rollouts.

Happy Health is revolutionizing sleep medicine delivery through a comprehensive telehealth platform that eliminates traditional barriers to sleep care. The company is a fast-moving, low-ego team that values ownership and problem-solving over process, operating remotely with a physical office in Austin, TX.

US

  • Submit and track provider enrollments with Medicare, Medicaid, and major commercial payers.
  • Maintain and update credentialing databases and payer status logs.
  • Collaborate with credentialing team and payer representatives to resolve blockers and shorten approval timelines.

Big Leap is a fast-growing, multi-state medical & behavioral clinician group focused on interventional mental health treatments like Spravato & TMS. The company is expanding its remote operations team to support growth.

  • Coordinate credentialing, payer enrollment, and recredentialing for clinicians.
  • Maintain provider data across CAQH, NPPES, PECOS, and payer portals.
  • Track contracts, follow up with payers, and escalate delays to ensure billing readiness.

Legion Health is a full-stack, AI-native psychiatry network delivering mental health care at scale. It's a fast-paced startup focused on using AI to automate care operations, with a culture of adaptability and process improvement.

$80,000–$90,000/yr
US Unlimited PTO

  • Own the licensing vendor relationship and budget, directing vendor performance and holding them accountable.
  • Manage payer credentialing end to end, ensuring providers are enrolled and revenue-ready.
  • Own payer roster management and develop relationships with payer representatives to resolve issues.

Brightline provides pediatric behavioral health care via virtual and in-person services, including therapy and psychiatry for kids up to age 18. Founded in 2019, the company has served tens of thousands of families and is nationally recognized for clinical excellence.

US Unlimited PTO

  • Collect, verify, and maintain provider credentials such as education, licensure, and malpractice insurance.
  • Enroll providers with Medicare, Medicaid, and commercial insurance payers.
  • Maintain provider profiles in CAQH and track credential expiration dates for timely renewals.

Foodsmart is a telenutrition and foodcare solution backed by a network of Registered Dietitians, guiding 2.2 million members toward healthier food choices. The company is a remote-first team with a mission-driven culture and recently secured a $200 million investment from TPG's Rise Fund.

US

  • Manage the end-to-end credentialing process for assigned therapists, ensuring compliance with all requirements.
  • Review credentialing documents, complete primary source verifications, and maintain accurate records in multiple systems.
  • Partner with cross-functional teams to resolve issues and support timely onboarding.

Luna is revolutionizing the delivery of physical therapy by providing in-home care. The company is a start-up with a supportive leadership culture that offers opportunities for growth.

  • Lead managers and supervisors responsible for member enrollment and billing operations.
  • Drive achievement of client SLAs, quality metrics, productivity, and financial targets.
  • Partner with clients and internal stakeholders to identify operational improvements and foster a culture of accountability.

Sutherland leverages artificial intelligence, automation, and cloud engineering to drive digital transformation for iconic brands. With over 200 patents and a focus on human-machine collaboration, the company delivers measurable results through a seamless 'as a service' model.

US

  • Manage provider credentialing, recredentialing, and enrollment processes including application review and verification.
  • Maintain credentialing files, databases, and tracking systems for license renewals, certifications, and DEA registrations.
  • Apply for provider participation with insurance networks, Medicare, Medicaid, and other payer panels, monitoring application status.

Wellpath provides healthcare to underserved and vulnerable populations, including those in correctional facilities. With a large team and a people-first culture, they emphasize compassion, collaboration, and innovation in their mission to heal the world.

US

  • Oversee the processing of initial payer applications to ensure compliance with accreditation standards and regulations.
  • Maintain and manage payer credentialing databases with accuracy and audit readiness.
  • Supervise payer credentialing staff by coordinating workloads, providing training, and monitoring performance.

Theoria Medical is a comprehensive medical group and technology company dedicated to serving patients across the care continuum with an emphasis on post-acute care and primary care. They serve facilities across the United States, offering multispecialty physician services, telemedicine, and remote patient monitoring.

US

  • Initiate and manage compliance onboarding for healthcare contractors, including credentialing verification.
  • Collaborate with staffing agencies and internal stakeholders to meet compliance deadlines.
  • Monitor credential expirations and maintain accurate records in the Vendor Management System.

Trio Workforce Solutions helps healthcare organizations manage workforce challenges through technology and services. The company is a mission-driven organization with a collaborative culture and growth opportunities nationwide.

$140,000–$170,000/yr
US

  • Hire, manage, and develop a team of Enrollment Specialists, building a repeatable playbook for ramping new hires quickly and implementing coaching for long-term performance standards.
  • Own the enrollment funnel end to end in partnership with clinical and market leadership, continuously refining based on what the data shows is working.
  • Build and maintain the team’s Salesforce instance to ensure every patient interaction is captured accurately and enrollment is integrated seamlessly into our new patient workflows.

Daymark Health is a value-based oncology company redefining the cancer care experience for patients, providers, and health plans. It is a venture-backed startup led by experienced leaders in oncology and value-based care.

$125,000–$150,000/yr
US

  • Lead and develop a team focused on provider-facing initiatives across Provider Experience and Incentives.
  • Champion the provider perspective and build a provider advocacy function to surface and act on feedback.
  • Develop reporting and insights using data from multiple systems to drive continuous improvement.

BetterHelp is on a mission to remove traditional barriers to therapy and make mental health care more accessible globally. Founded in 2013, the company is the world's largest online therapy service with a network of over 30,000 licensed therapists and a diverse team of clinicians, engineers, and business leaders.