Lead and supervise credentialing support staff, ensuring quality, accuracy, and timely processing of credentialing and enrollment tasks.
Oversee provider credentialing, licensure, and internal enrollment with Medicare, Medicaid, Managed Care, and Commercial Plans.
Maintain provider rosters, monitor license and certification renewals, and ensure compliance with regulatory and internal standards.
At Better Life Partners, we provide what it takes to heal from addiction. Wherever. Whenever. By combining virtual and in-person counseling, community support, and medication access.
The Provider Enrollment Specialist is responsible for timely and effectively enrolling practitioners in health plans. The Specialist will monitor progress, ensure timeliness of enrollment completion, and provide updates. The Specialist will maintain accurate provider profiles in IntelliCred and CAQH.
Pediatrix Medical Group is one of the nation’s leading providers of specialized health care for women, babies and children since 1979.
Acts as key point of contact for the processing of enrollment applications for all providers. Works with System Credentialing and local medical staff contacts. Responsible for completing the ongoing review and attestation of all Munson Healthcare provider enrollment records.
Munson Healthcare is northern Michigan’s largest healthcare system, with eight award-winning community hospitals serving over half a million residents.
Manage contracting and credentialing activities with insurance companies and Medicaid agencies. Oversee the provider enrollment, application, and credentialing process. Serve as the point of contact for contract negotiations and expedite approvals.
Amity Foundation is a safe place where people can change in an environment that fosters trust; where new values can be formed, responsibility developed, and lasting relationships built.
Lead the preparation and submission of comprehensive provider rosters to Managed Medicare, Medicaid, and commercial payers.
Audit internal provider data against database records to ensure 100% accuracy before submission.
Serve as the primary point of contact for health plans to resolve roster discrepancies, rejections, or paneling delays.
Privia Health is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems. The Privia Platform consists of scalable operations and end-to-end, cloud-based technology that reduces unnecessary healthcare costs.
Oversee the operations of the Imagine Pediatrics Onboarding, Credentialing, Licensing, and Enrollment Department. Develop and train on policies and procedures, workflows, and training documentation for the team. Manage Delegated Credentialing arrangements - implementation and audit – as well as ongoing Delegated partnerships with health plans.
Imagine Pediatrics is a tech enabled, pediatrician led medical group reimagining care for children with special health care needs.
Facilitate all aspects of required medical licensure for clinical personnel.
Drive the licensing process in a proactive, organized and streamlined manner.
Collaborate with credentialing, onboarding, and clinical teams.
Talkiatry is a national mental health practice co-founded by a patient and a triple-board-certified psychiatrist. They provide patients with the care they need and allow psychiatrists to focus on medicine with innovative technology and a human-centered philosophy.
Coordinate comprehensive onboarding for new therapists and nurse practitioners.
Serve as the main point of contact for provider questions, concerns, and technical issues.
Monitor provider satisfaction and engagement, identifying opportunities for improvement.
Seven Starling is revolutionizing women's behavioral health through our clinically-validated virtual care platform. As a venture-backed, rapidly scaling startup at the forefront of maternal healthcare innovation, they have developed a groundbreaking clinical model that combines specialized therapy, peer support, and medication management to effectively treat perinatal mood disorders.
Perform virtual remote counseling and psychotherapy.
Determine and implement behavioral health treatment plans.
Conduct monthly chart reviews as part of our peer review QA process.
Included Health is a new kind of healthcare company, delivering integrated virtual care and navigation with a mission to raise the standard of healthcare for everyone.
Perform virtual remote counseling and psychotherapy.
Develop and implement behavioral health treatment plans, evaluate results of mental health assessments, and provide evidence-based therapeutic support to patients.
Conduct monthly chart reviews as part of our peer review QA process, as assigned.
Included Health delivers integrated virtual care and navigation, aiming to raise the standard of healthcare. They provide high-quality care, breaking down barriers for personalized virtual and in-person care across various needs.
Must be fully licensed in the state your reside in.
Must be fully licensed independently for a minimum of 2 years.
Must have been practicing individual therapy within the last year.
Included Health delivers integrated virtual care and navigation. They aim to raise healthcare standards by offering care guidance, advocacy, and personalized virtual and in-person care. They are an equal opportunity employer.
Manage the day-to-day tasks of processing provider credentials, licenses and payor enrollment applications.
Work cross-functionally with many teams to guarantee the smooth running of operations.
Research, interpret, and evaluate information relevant to provider licensure and continuing medical education in the United States
CertifyOS is building the infrastructure that powers the next generation of provider data products, making healthcare more efficient, accessible, and innovative.
Research and identify high-value enterprise healthcare targets. Execute outbound prospecting across multiple channels. Maintain detailed activity and contact records in HubSpot.
Grow Therapy is a three-sided marketplace that empowers providers, augments insurance payors, and serves patients in mental healthcare.
Perform virtual remote counseling and psychotherapy, including comprehensive mental health evaluations.
Develop and implement behavioral health treatment plans and evaluate mental health assessments.
Conduct monthly chart reviews as part of the peer QA process.
Included Health delivers integrated virtual care and navigation, aiming to raise healthcare standards by breaking down barriers and providing high-quality care. They offer care guidance, advocacy, and access to personalized virtual and in-person care.
Conduct evidence-based therapeutic sessions for children, families, and individuals in person or via telehealth. Develop and implement goal-oriented treatment plans. Complete documentation by a given deadline and in compliance with program and state regulations.
AthenaPsych is a New York State mental health-approved provider of community mental health services for children, adults, and families.
Seeking therapists who are passionate about patient care and committed to clinical excellence. Deliver high quality behavioral healthcare to adult, child, and/or adolescent populations. Grow professionally while maintaining work-life balance, either from home or in the office.
LifeStance Health is looking to hire talented therapists who are passionate about patient care and committed to clinical excellence.
Perform virtual remote counseling and psychotherapy.
Determine and implement behavioral health treatment plans.
Conduct monthly chart reviews as part of the peer review process.
Included Health delivers integrated virtual care and navigation, striving to elevate healthcare standards. They offer care guidance, advocacy, and personalized virtual and in-person care, ensuring high-quality support for everyone in every community.
Perform virtual remote counseling and psychotherapy.
Determine and implement behavioral health treatment plans.
Conduct monthly chart reviews as part of our peer review QA process.
Included Health delivers integrated virtual care and navigation. They aim to raise the standard of healthcare for everyone by breaking down barriers to provide high-quality care for every person, offering care guidance, advocacy, and access to personalized care.
Provide high quality, innovative, tele-therapy to Headspace patients over a HIPAA compliant video conferencing platform
Complete, sign and lock clinical case notes in EMR within 48 hours of session as part of the per-session reimbursement rate
Maintain your personalized database to record proof of licensure, license updates, expiration dates, personal information, etc.
Headspace is a company that provides virtual mental health care services. They offer a multidisciplinary team approach and focus on accessible mental health support.