Execute day-to-day provider enrollment, credentialing, and licensing tasks under the guidance of Specialists and Team Leads.
Accurately input, maintain, and update provider data across credentialing databases and internal systems.
Identify and escalate issues, discrepancies, or complex cases to the appropriate team member in a timely manner.
Allara is a comprehensive women’s health provider specializing in expert, longitudinal care for hormonal, metabolic, and reproductive health. It is one of the fastest-growing women’s health platforms in the U.S., with a mission-driven, collaborative culture focused on bridging gaps in healthcare.
Review and interpret payor contracts, amendments, and policies to document key terms and escalate ambiguous language before it becomes downstream billing issues.
Build and operationalize a contract repository and AI payor intelligence tooling, organizing documentation and validating search accuracy.
Partner with cross-functional teams to resolve flagged risks, close information gaps, and surface process improvements for a growing contract portfolio.
Grow Therapy is a mental health platform that connects providers, insurers, and patients to make care more accessible. Backed by over $328M in funding, the company fosters a culture of ownership and impact where everyone drives meaningful work.
Manage standard onboarding workflows for physical therapist enrollment across contracted payers and partner networks.
Review provider credentials, prepare application packets, and maintain accurate database records for compliant credentialing.
Communicate with insurance carriers and internal teams to ensure timely enrollment and resolve routine barriers.
Luna is revolutionizing the delivery of physical therapy by providing in-home care through a digital platform. As a start-up with supportive leadership, they offer opportunities for growth alongside a dedicated team.
Manage the full revenue cycle from patient registration through claims resolution.
Accurately submit and track medical claims to various insurance payers.
Perform accounts receivable follow-up, identifying and resolving denied, underpaid, or unpaid claims.
Allara is a comprehensive women's health provider that offers expert, longitudinal care for hormonal, metabolic, and reproductive conditions. It is one of the fastest-growing women's health platforms in the U.S., trusted by thousands of women nationwide.
Lead strategic growth and operational management of pharmacy benefit and managed care relationships nationwide.
Oversee contract evaluation, negotiation, implementation, and renewal with major healthcare payers.
Analyze reimbursement trends and contract performance to support revenue optimization and business growth.
This company operates in the specialty pharmacy sector, supporting patients with chronic and rare illnesses. It is a mission-driven, rapidly growing environment focused on improving access, care, and outcomes for patients with complex healthcare needs.
Support the execution of local network strategy and provider outreach to drive membership growth.
Meet defined metrics and SLAs including provider outreach and contract completion.
Support contract negotiations and document provider feedback to improve processes.
Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving members. The company started in 2012 to create a health insurance experience that behaves like a doctor in the family.
Prepare and manage provider credentialing and payer enrollment applications for commercial, Medicare, Medicaid, and other health plans.
Maintain accurate provider files including CAQH profiles, NPI information, state licenses, and other required documentation.
Monitor credentialing statuses through payer portals and communicate updates to leadership and providers.
Modena Health is a physician-led, hospitality-focused medical practice specializing in allergy, asthma, and immunology care, with clinics across Southern California and Arizona and plans for national expansion. The company values collaboration, positivity, and growth, aiming to hire great people and help them find meaning in its mission.
Supports the review of contract proposals, language and rate sheets to ensure accuracy and compliance with standards.
Assists leadership with project plans, meeting minutes, and action items related to national payer renewals.
Coordinates with team members to ensure contract documents are signed and stored according to policies.
Dignity Health, part of CommonSpirit Health, is a nonprofit Catholic healthcare organization providing integrated health services. It has over 157,000 employees and 45,000 nurses, delivering more than 20 million patient encounters annually.
Serve as single-point-of-contact for Authorized Treatment Centers and develop payer strategies to secure favorable coverage and reimbursement.
Present scientific and economic data to support product value proposition, leveraging cross-functional teams including Medical Affairs and Legal.
Track KPIs, ensure dashboard accuracy, and maintain partnerships with targeted Academic Hospitals and Health Systems.
Orca Bio is a commercial-stage biotechnology company redefining the transplant process by developing next-generation cell therapies. With a start-up culture of camaraderie and leadership by example, the company is driven by passion and compassion for patients.