Verify healthcare providers' education, licenses, and credentials to ensure patients receive care from qualified professionals.
Maintain accurate records, track expiration dates, and ensure compliance with accrediting bodies and insurance companies.
Work closely with partners to deliver personalized service, coach team members, and lead by example.
Main Street Health is the nation's largest provider of value-based care exclusively serving rural America. We partner with rural health systems to bring high-quality care to patients, fostering a culture of entrepreneurial spirit, adaptability, and down-to-earth teamwork.
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.
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.
Guide learners through third-party vendor accounts, documentation, and background checks.
Monitor learner progress for large cohorts and implement corrective actions.
Support training and mentoring of Specialists I and II.
Nightingale Education Group focuses on higher learning in healthcare professions, elevating education, health, and employment systems. They have graduated nearly 5,000 nurses and serve diverse communities with a blended-distance learning platform.
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.
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.
Process state medical licenses for clinical professionals across multiple states.
Manage the full application lifecycle with medical boards, vendors, and clinicians.
Handle controlled substance, DEA, and malpractice insurance applications.
Curana Health is a national leader in value-based care for senior living communities, offering on-site primary care services and Medicare plans. Founded in 2021, it serves over 200,000 seniors across 1,500+ communities with more than 1,000 clinicians and was ranked #147 on the Inc. 5000.
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.
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.
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.
Submit and follow up on dental insurance claims, post payments, and verify benefits for multiple dental practices nationwide.
Manage day-to-day client communication and relationships to ensure satisfaction and retention.
Prepare and deliver monthly ROI statistics and quarterly business reviews.
DentalXChange simplifies the business of dentistry by providing revenue cycle management for dental practices across the country. They have a team that values core values like Actively Care, Try Hard, Be Humble, and Feedback is a Gift, fostering a positive culture.
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.
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.
Provide personalized operational and account support to executive clients, managing day-to-day requests and ensuring timely resolution.
Document all client interactions in Salesforce, troubleshoot issues, and collaborate with internal departments for seamless client experience.
Achieve and exceed company and department goals while maintaining professional competence and effective work relationships.
DentalXChange provides electronic dental claims and payment solutions. The company promotes a positive culture with friendly co-workers and values of actively caring, trying hard, being humble, and giving feedback as a gift.