Source Job

$60,000–$68,000/yr
US Unlimited PTO

  • Build, document, and maintain end-to-end SOPs for payer contracting, enrollment, and credentialing workflows.
  • Design quality controls and error-catching checkpoints that reduce rework and rejected applications.
  • Conduct persistent, proactive follow-up with payers to push applications through to approval.

Provider Enrollment Credentialing Process Documentation Quality Control

15 jobs similar to Payer Operations Lead

Jobs ranked by similarity.

$60,000–$80,000/yr
US

  • Lead end-to-end payer enrollment and revalidation activities for behavioral health providers.
  • Provide day-to-day guidance, training, and support to enrollment specialists.
  • Act as primary point of contact with payer enrollment departments and credentialing vendors.

BetterHelp is the world's largest online therapy service, on a mission to make mental health care more accessible. Founded in 2013, we have a network of over 30,000 licensed therapists, and we deeply invest in our team's well-being and professional development.

$100,000–$120,000/yr
US

  • Lead the full credentialing and recredentialing process for W-2 clinicians across multiple states and payer networks.
  • Develop and maintain credentialing policies aligned with NCQA, CMS, and state-specific guidelines.
  • Partner with recruiting, clinical operations, legal, and finance to ensure efficient onboarding and regulatory compliance.

Headlight is a mental healthcare company founded by psychiatrists, transforming access to care and delivery methods for clinicians. They are a growing organization with a collaborative culture, focusing on innovation and whole-person care.

US

  • Coordinate and monitor provider/facility payer credentialing and re-credentialing processes.
  • Send, review, and verify credentialing applications and maintain provider information in online database.
  • Track license and certification expirations and ensure timely renewals for medical staff.

Bozeman Health is a healthcare organization dedicated to caring for the communities of Southwest Montana. They foster a Culture of Excellence emphasizing high performance, transparent communication, and continuous learning.

$50,000–$55,000/yr
US

  • Manage all aspects of payer enrollment for independent providers and care centers in the New Jersey market.
  • Investigate claims/enrollment issues, work within AthenaOne EMR, and resolve Salesforce cases.
  • Partner with internal teams including National Credentialing, Implementation, and Operations Consultants.

Privia Health is a technology-driven national physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices and improve patient experiences. The company is led by top industry talent and focuses on reducing healthcare costs through scalable operations and cloud-based technology, with a culture that values diversity and inclusion.

$52,000–$65,000/yr
US Unlimited PTO

  • Support the end-to-end credentialing pipeline for OCN providers, coordinating day-to-day with our third-party credentialing vendor.
  • Track application status across payers and providers, flagging delays and at-risk timelines to internal stakeholders.
  • Maintain accurate, up-to-date tracking across credentialing operations and coordinate with RCM and Operations teams.

Osmind is a healthcare technology company purpose-built for psychiatric practices offering interventional treatments like Spravato, TMS, and ketamine. We are a Series B company with a small, high-trust team that moves fast and does meaningful work.

$60,000–$70,000/yr
US Unlimited PTO

  • Manage end-to-end provider licensing workflows across multiple states, including initial applications and renewals.
  • Own payer enrollment processes for commercial and government payers from initial application through active status.
  • Build and maintain accurate tracking systems to monitor license and credential expiration dates, ensuring zero lapses.

Hey Jane provides safe, discreet medication abortion treatment and a range of reproductive and sexual health care services via your phone. We have helped over 100,000 people and have an in-house clinical care team of board certified doctors, nurses, and patient care advocates.

Romania

  • Design and launch credentialing workflows, quality standards, and operational processes from the ground up.
  • Manage the complete credentialing lifecycle including payer enrollment, CAQH management, and compliance monitoring.
  • Recruit, train, and lead credentialing specialists to scale the service while maintaining accuracy and reliability.

This partner company specializes in healthcare credentialing and revenue cycle management. They offer a dynamic, globally distributed team culture with a focus on efficiency and compliance.

US 5w PTO

  • Analyze and investigate practitioner information using health information systems to distribute credentialing and enrollment packets.
  • Prepare and distribute data for state, federal, and commercial carriers, ensuring compliance with legal and regulatory requirements.
  • Collaborate with internal departments and partners to achieve accurate credentialing, timely enrollment, and compliant billing status.

OHSU is Oregon's only public academic health center, combining patient care with groundbreaking research and training the next generation of healthcare professionals. As Portland's largest employer, OHSU offers opportunities to learn and advance in a system of hospitals and clinics across Oregon and Southwest Washington, fostering an inclusive, anti-racist multicultural institution.

$22–$23/hr
United States 5w PTO 12w maternity 12w paternity

  • Create and maintain credentialing and renewal information for Workit providers, ensuring accuracy in payor directories and online systems.
  • Work closely with the Credentialing Manager and billing staff to resolve denials or authorization issues related to provider credentialing.
  • Complete revalidation requests issued by payers and maintain up-to-date data for each provider in the credentialing database.

Workit Health is an industry-leading provider of on-demand, evidence-based telemedicine care for addiction, offering FDA-approved medication and online recovery groups. The company has a vibrant, democratized culture with multiple ERG groups and opportunities for internal mobility, committed to closing health disparity gaps.

  • Complete enrollment and re-credentialing applications for physicians and providers with payers and government programs.
  • Perform primary source verification of licenses, malpractice, and work history and maintain CAQH profiles.
  • Partner with clients and payers to update enrollment status and communicate project status to leadership.

BerryDunn is a professional services firm that provides tax, advisory, and consulting services to businesses, nonprofits, and government agencies throughout the US and its territories. The firm is known for its diverse and inclusive workplace culture with a focus on learning, development, and well-being.

$56,000–$63,000/yr
US

  • Complete credentialing and re-credentialing applications for physicians, ancillary providers, and facilities with third-party payers and government programs.
  • Perform primary source verification services including license, malpractice, and work history verification.
  • Maintain CAQH profiles and credentialing databases, partner with client liaisons, and follow up with payers on submitted applications.

BerryDunn is a client-centered, people-first professional services firm providing tax, advisory, and consulting services since 1974. The firm is led by CEO Sarah Belliveau and is recognized for its diverse and inclusive workplace culture and focus on learning, development, and well-being.

  • Manage the credentialing process for clinical team members across multiple healthcare facilities.
  • Ensure all required documentation including licenses, certifications, and background checks is complete and up to date.
  • Serve as a point of contact between healthcare facilities and the credentialing team to address inquiries and provide updates.

VIC the PICC is a specialized healthcare provider focused on vascular access consulting services to acute care hospitals, skilled nursing facilities, and home healthcare. We emphasize a supportive culture with core values of integrity, respect, and compassion.

$63,800–$83,000/yr
US

  • Serve as the main point of contact for providers, resolving escalated issues and maintaining positive relationships.
  • Manage internal projects to improve provider experience, including education on best practices and policies.
  • Use data analysis and tools like Excel and Salesforce to investigate issues and reduce provider abrasion.

Clover Health provides high-quality, affordable healthcare plans for America's seniors by leveraging data and technology through the Clover Assistant. The company is a mission-driven, remote-first organization with a focus on diversity and inclusion, employing a team of passionate professionals.

$27–$38/hr
US

  • Support licensing activities for clinicians including physicians, nurse practitioners, and behavioral health providers.
  • Ensure successful completion of licensing plans and escalate issues that jeopardize success.
  • Collaborate cross-functionally to maintain accurate clinician information and improve licensing processes.

Included Health is a healthcare company delivering integrated virtual care and navigation. With a remote-first culture, we break down barriers to provide high-quality care for every person in every community.

$55,000–$75,000/yr
US

  • Provide day-to-day guidance, training, and support to credentialing associates.
  • Design, document, and implement scalable credentialing workflows and standard operating procedures.
  • Maintain accurate provider information, track application statuses, and analyze data to improve efficiency.

BetterHelp aims to remove traditional barriers to therapy and make mental health care more accessible. Founded in 2013, it is the world’s largest online therapy service, with a network of over 30,000 licensed therapists and a team of clinicians, engineers, marketers, and business leaders committed to expanding access.