Source Job

US

  • Submit and track provider enrollments with Medicare, Medicaid, and major commercial payers.
  • Maintain and update credentialing databases and payer status logs.
  • Collaborate with credentialing team and payer representatives to resolve blockers and shorten approval timelines.

Payer Enrollment Credentialing Medicare Medicaid Spreadsheets

15 jobs similar to Payer Enrollment Specialist

Jobs ranked by similarity.

US

  • Submit and track provider enrollments across Medicare/Medicaid and commercial payers to secure effective dates.
  • Maintain CAQH attestations and accurate provider data across payer portals and internal credentialing systems.
  • Assist with onboarding new providers and respond to payer requests to resolve application issues.

Metro Vein Centers is a rapidly growing healthcare practice specializing in state-of-the-art vein treatments. With over 70 clinics across 8 states and a Net Promoter Score of 93, they are committed to compassionate, patient-first care.

Arizona Florida Georgia Indiana North Carolina Tennessee Texas Virginia Unlimited PTO

  • Manage end-to-end payer enrollment for providers across commercial, Medicare, and Medicaid health plans.
  • Support provider licensing operations including new applications, renewals, and compliance activities.
  • Collaborate with internal teams and external partners to ensure timely credentialing and minimize patient care delays.

Oshi Health is a virtual digestive health practice transforming GI care by combining compassionate, multidisciplinary care with innovative technology. The company is a remote-first, mission-driven startup focused on revolutionizing how chronic digestive conditions are diagnosed and managed, with a culture emphasizing respect and inclusion.

US

  • Oversee end-to-end health plan enrollment process and manage vendor performance.
  • Ensure accurate and timely processing of enrollment requests while maintaining compliance with SLAs.
  • Act as subject matter expert in payer enrollment requirements and resolve enrollment delays.

Medallion is a healthcare technology company that automates licensing, credentialing, and compliance monitoring for healthcare organizations. It is one of the fastest-growing healthcare technology companies, ranked #3 on Inc. Magazine's 2024 Fastest-Growing Private Companies in the Pacific Region and a Glassdoor Best Place to Work in 2024 & 2025.

US

  • 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.

US

  • Manage end-to-end provider credentialing and payer enrollment processes across multiple states.
  • Ensure compliance with government and commercial payer requirements to minimize claim denials.
  • Serve as a subject matter expert, supporting team training and process improvements.

The company operates a nationwide virtual healthcare network, focusing on transforming cardiovascular care delivery. The team is mission-driven and values innovation, collaboration, and continuous improvement.

$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.

Allara is a comprehensive women's health provider that specializes in expert, longitudinal care for women through every life stage. Trusted by over 60,000 women nationwide, Allara is one of the fastest-growing women's health platforms in the U.S., bridging gaps in healthcare for women.

US

  • 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.

$80,000–$90,000/yr
US Unlimited PTO

  • 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.

$145,000–$155,000/yr
US

  • Lead the strategy to secure national payor agreements, moving from state-by-state enrollment to national in-network contracts with major commercial payors.
  • Manage a Credentialing Specialist, setting SLAs and KPIs for credentialing turnaround time, while overseeing payor enrollment and claim denial resolution.
  • Partner with Clinical Ops and Revenue Cycle to align provider onboarding with credentialing lead times and national agreement rollouts.

Happy Health is revolutionizing sleep medicine delivery through a comprehensive telehealth platform that eliminates traditional barriers to sleep care. The company is a fast-moving, low-ego team that values ownership and problem-solving over process, operating remotely with a physical office in Austin, TX.

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

  • Submit provider and organizational contract requests to commercial, Medicare, Medicaid, and managed care payers.
  • Monitor contract application status and maintain detailed tracking of all submissions and negotiations.
  • Coordinate with internal teams to facilitate successful implementation of newly executed agreements.

Expressable is a virtual speech therapy practice on a mission to transform care delivery and expand access to high-quality services. Since 2019, we have served thousands of clients and maintain a fully remote culture focused on collaboration and personal connection.

$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.

$75,000–$90,000/yr
US

  • Manage provider credentialing and enrollment processes to ensure compliance with NCQA, URAC, Joint Commission, CMS, and state regulations.
  • Oversee a team of specialists, monitor KPIs like "Days to Enroll," and resolve complex application rejections to protect cash flow.
  • Collaborate with Compliance, Billing, Legal, and Clinical teams to troubleshoot credentialing-related claim denials and maintain database accuracy.

Sleep Doctor is a trusted sleep health company helping millions get better rest through clinical expertise and consumer-first experiences. They foster a collaborative, growth-oriented culture where every team member contributes to bold solutions.

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.

US

  • Perform clinical reviews and conduct peer-to-peer discussions.
  • Participate in inter-rater reliability activities and clinical rounds.
  • Serve as a clinical resource and subject matter expert to clinical and non-clinical staff.

Devoted Health is a healthcare company that aims to improve the health and well-being of older Americans through a data and AI-driven care platform. The company values diversity, collaboration, and a supportive work environment, and is an equal opportunity employer.