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YOUR KEY RESPONSIBILITIES:
- Manage provider enrollment & credentialing: Lead the full credentialing lifecycle for new and existing providers and practice locations — including Medicare (PECOS), Medicare Advantage plans, and other payers.
- Maintain provider data: Ensure CAQH profiles are complete, current, and accurately reflect provider credentials and practice information.
- Optimize workflows: Assess current credentialing processes, identify inefficiencies, and implement improvements using Airtable, automation tools, and best practices.
WHAT WE’RE LOOKING FOR:
- Credentialing experience: 3+ years of direct experience in provider enrollment and credentialing, including both group and individual provider enrollments.
- PECOS wizard: You have extensive experience working with PECOS enrollments, I&A, and request for corrections – this is a must.
- Medicare Advantage applications: Prior work with Medicare Advantage health plans and credentialing requirements.
Sailor Health
Sailor Health aims to solve the mental health crisis among older adults by connecting them, therapists, healthcare professionals, and insurance plans through their AI-native operating system. They are a growing company partnered with Medicare, offering affordable psychotherapy and striving to redefine aging with mental wellness.