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US

  • Configures QGenda's Credentialing and Payer Enrollment solutions using customer requirements and best practices to ensure ease of use.
  • Prepares for and leads implementation and training calls, documents final configuration, and transfers knowledge to the Customer Success team.
  • Works cross-functionally with Technical Account Managers, Project Coordinators, and other teams to scope and deliver all customer requirements and meet go-live expectations.

Credentialing Salesforce Microsoft Office Project Management

20 jobs similar to Implementation Consultant, Credentialing

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$65,000–$65,000/yr
US

  • Submit accurate enrollment applications to multiple public and private payers.
  • Manage enrollments across multiple states and provider types, ensuring timely follow-up.
  • Maintain up-to-date provider information in CAQH and resolve enrollment discrepancies.

Seven Starling is a virtual provider of women's behavioral health services, supporting every stage of motherhood. They combine therapy, peer support, and medication management with 94% of patients seeing improvement. They partner with OBGYN clinics and health plans to make care accessible.

US

  • Own the end-to-end credentialing and payer enrollment process for behavioral health providers across multiple states.
  • Manage internal credentialing onboarding for newly hired providers by collecting and validating required documentation.
  • Design and maintain credentialing and enrollment tracking systems to monitor application status, renewal timeliness, and enrollment milestones as the company scales.

Willow Health aims to significantly improve the mental health care experience by expanding affordable access to high-quality, evidence-based intensive behavioral health care. The co-founding team of Cityblock and Oscar alums has two decades of collective experience working in healthcare and healthcare tech, and they are backed by Andreessen Horowitz.

$76,250–$111,500/yr
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  • Lead the full onboarding lifecycle for new Employee Benefits customers.
  • Guide customers through contract review, billing setup, and use of online service tools.
  • Research and resolve customer inquiries of varying complexity by partnering with internal teams.

The Standard is dedicated to helping its customers achieve financial well-being and peace of mind. They are a leading provider of group and individual disability insurance, group life, dental and vision insurance, voluntary benefits, absence management services, and retirement plans and annuities.

$65,000–$85,000/yr
US 4w PTO

  • Manage the end-to-end provider enrollment process to ensure all clinicians are fully vetted and ready for patient care.
  • Serve as the primary power user for CAQH ProView, managing profile data, re-attestations, and troubleshooting technical enrollment issues.
  • Investigate sanctions alerts and NPDB queries to ensure adverse findings are precisely documented and escalated.

Scan.com is a digital health scale-up making diagnostics accessible, fast, and transparent. The company is a profitable, high-growth startup with hundreds of patients served daily, backed by over $70M in VC funding and fostering an innovative, inclusive culture.

$140,000–$150,000/yr
US Unlimited PTO

  • Define and execute the long-term vision for credentialing and enrollment, transitioning from manual processes to a tech-enabled, scalable operation.
  • Oversee the end-to-end enrollment process for Medicare, Medicaid, and Commercial payers. Be the primary liaison for enterprise contract activations.
  • Lead the internal Credentialing Committee, presenting provider files and ensuring all primary source verifications (NPDB, OIG, SAM) are flawless.

Foodsmart is the leading telenutrition and foodcare solution, backed by a robust network of Registered Dietitians. Their platform is designed to foster healthier food choices, drive lasting behavior change, and deliver long-term health outcomes. At Foodsmart, their mission is to make nutritious food accessible and affordable for everyone, regardless of economic status.

US

  • Execute non-delegated credentialing process for new and existing providers.
  • Serve as a point of contact for all insurance payor relationships.
  • Maintain accurate and up-to-date records of all credentialing activities.

Dental Care Alliance's mission is to advance the practice of dentistry by partnering with and supporting dental professionals to create a lifetime of healthy smiles. Headquartered in Sarasota, Florida, DCA supports over 400 allied practices and supports over 900 dentists across over 20 States.

$80,000–$110,000/yr
US

  • Own the full implementation process from contract signing to post-launch stabilization, developing customized launch plans.
  • Educate frontline care staff on Meela’s value and how to champion it with residents and families.
  • Track adoption metrics and act on findings, flagging issues early and working cross-functionally to resolve them.

Meela builds phone-based AI tools for older adults and their caregivers, addressing loneliness and caregiver burnout. They are backed by tier-one venture capital and live in senior living communities across the U.S., with a focus on scaling responsibly and improving the product in partnership with users.

Canada US

  • Act as the principal liaison with the customer to implement leading practices to optimize workflows and drive business outcomes.
  • Lead a detailed business discovery developing recommendations to execute a delivery approach that will drive outcomes and deliver value.
  • Translate technical requirements and execute system configuration setup.

PointClickCare is a leading health tech company that is founder-led and privately held, empowering employees to push boundaries, innovate, and shape the future of healthcare. With the largest long-term and post-acute care dataset and a Marketplace of 400+ integrated partners, their platform serves over 30,000 provider organizations.

US

  • Manage end-to-end credentialing and re-credentialing for BCBAs and RBTs across all contracted payors.
  • Serve as KBH's primary contact with payor credentialing departments, building relationships and escalating issues.
  • Maintain a live credentialing tracking system to provide real-time visibility and drive process improvements.

Kind Behavioral Health is a leading provider of Applied Behavior Analysis services dedicated to improving the lives of children with autism spectrum disorder. They deliver individualized care plans in an environment that encourages thinking big, having fun, doing good, and being kind.

US

  • Answer a high volume of inbound calls and ensure every interaction is respectful and solution-oriented.
  • Own the member's journey, including researching and resolving complex cases.
  • Guide members in accessing services, facilitating access to virtual care and connecting them to healthcare resources.

Included Health is a healthcare company delivering integrated virtual care and navigation. They aim to raise the standard of healthcare for everyone by breaking down barriers and providing high-quality care. They offer numerous opportunities for career advancement and professional development.

US

  • Engage potential patients over the phone and provide information about our healthcare service.
  • Assist patients in navigating the program app/website and address any technical issues.
  • Record and maintain accurate patient information in our system, including insurance and clinical updates.

Aviary is a healthcare company focused on leveraging technology to improve clinical outcomes. The job posting does not mention company size or discuss company culture.

US

  • Enrolling practitioners in health plans in a timely and effective fashion.
  • Monitoring progress and ensuring timeliness of enrollment completion.
  • Maintaining provider enrollment goals for all divisions.

Pediatrix Medical Group provides specialized health care for women, babies, and children. Since 1979, Pediatrix has grown into a national, multispecialty medical group committed to coordinated, compassionate, and clinically excellent services.

$90,000–$100,000/yr
US

  • Serves as the primary point of contact for VA and Medical Center customers, providing end-to-end account support.
  • Travels on-site to deliver professional training to healthcare providers and represents CEFALY Technology at medical conferences and trade shows.
  • Works collaboratively with Inside Sales Representatives, Regional Trainers, Product Management, Customer Service, and Quality Management.

CEFALY Technology is transforming migraine care with innovative, drug-free, and non-invasive therapeutic solutions. Their flagship device, the CEFALY DUAL, is an external Trigeminal Nerve Stimulator, and they have helped treat over 2 billion migraines worldwide.

$46,750–$63,250/yr
US

  • Manage inbound and outbound calls, emails, and other communications related to post-purchase voucher inquiries.
  • Research and resolve patient billing and provider payment issues.
  • Utilize Salesforce as the primary case management tool to track cases, notes, and resolutions.

Tendo is a fast-growing, mission-driven company focused on improving the care journey for patients, clinicians, and caregivers by creating software that provides seamless, intuitive, and user-friendly experiences. Their team-driven culture and rapid growth have earned them recognition as one of Forbes’ Top Startup Employers for 2024, 2025, and 2026.

US

  • Coordinate the end-to-end medical provider enrollment process.
  • Prepare and submit enrollment applications to Medicare, Medicaid, and other payers.
  • Maintain accurate provider data within internal systems to ensure consistency.

Curana Health is dedicated to radically improving the health, happiness, and dignity of older adults through value-based care. Founded in 2021, it has quickly grown to serve over 200,000 seniors in 1,500+ communities across 32 states with a team of 1,000+ clinicians and other professionals.

US

  • Receive, Track, Identify and analyze claims data and clinical information as appropriate for the pre-renewal, medical underwriting, and cost containment processes.
  • Accurate setup of incoming and outgoing referral and review documents, utilizing medical underwriting and cost containment platforms including intake logs, Conexure, Access, Sharepoint, OneDrive, etc.
  • Communicate verbally and in writing of all activities and problems within assigned area of responsibility with team and manager.

Crum & Forster (C&F) provides specialty and standard commercial lines insurance products through our admitted and surplus lines insurance companies. Its most valuable asset is its people: more than 2000 employees in locations throughout the United States and they are winning recognition as a great place to work.

US

  • Lead business decision meetings as the SME and trusted advisor, providing strategic guidance and consultation with customer's business team and Intradiem champions during implementations at a large healthcare customer.
  • Manage multiple implementation projects, ensure timely completion with quality results, prioritize responsibilities, and effectively track progress.
  • Build trusted advisor relationships with the customer’s executives and Intradiem champions to consult on best practices and proven solutions, maximizing the value and benefits of their Intradiem investment.

Intradiem is a technology company on a mission to reinvent customer service through automation, developing innovative, AI-powered Intelligent Automation solutions for contact center and back-office teams. They have a "people-first" approach, treating employees and customers with dignity and respect with a family-first culture.

US

  • Contact members via phone to schedule clinical assessment visits.
  • Effectively communicate service offerings and answer member questions.
  • Maintain performance accountability around member enrollment and participation.

Tuesday Health is a value-based palliative care provider group dedicated to transforming serious illness and end-of-life care. With a leading-edge care model, Tuesday Health is shaping the future of community-based palliative care nationwide.

$120,000–$180,000/yr
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  • Collaborate with account teams to achieve sales and growth targets.
  • Sell Amwell’s core products and clinical programs within key accounts.
  • Support implementation and ensure optimal performance of Clinical Partner Programs.

Amwell is transforming healthcare through technology, improving lives globally. They provide innovative solutions to address healthcare challenges, offering a technology-enabled care platform that supports various clinical programs.

$26–$26/hr
US Unlimited PTO

  • Provide accurate assistance to support the administrative needs of Brokers and Admins across phone and email.
  • Assist with the administrative side of onboarding and system needs for new and renewing Sana plans.
  • Address and resolve complaints or problems, such as billing discrepancies and coverage denials.

Sana is a health plan solution built for small and midsize businesses designed around their integrated primary care service, Sana Care. They have been remote-first since day one, with a fully distributed team across the U.S., and value curiosity, ownership, and speed.