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.
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.
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.
Responsible for credentialing and recredentialing of practitioner applicants.
Ensures the provider network meets regulatory criteria to minimize liability and maximize member safety.
Maintains confidentiality of practitioner information and performs detailed application reviews.
Curana Health is a national leader in value-based care, offering solutions to senior living communities and skilled nursing facilities. Founded in 2021, they serve 200,000+ seniors in 1,500+ communities across 32 states with a team of more than 1,000.
Manage the standard credentialing review process for pharmacies.
Review exclusion lists to identify any excluded pharmacies.
Manage the development and maintenance of a credentialing database.
Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans. They have solutions such as Capital Rx and Judi® which consolidates all claim administration-related workflows in one scalable, secure platform.
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.
Serve as the primary subject matter expert for credentialing across state and federal contracts, executing workflows within government systems.
Lead the design, standardization, and continuous improvement of credentialing standard operating procedures to ensure compliance and efficiency.
Manage the end-to-end credentialing lifecycle including onboarding, renewals, and offboarding while ensuring audit-ready documentation and adherence to SLAs.
Nava is a consultancy and public benefit corporation focused on modernizing government services through improved user experiences and secure cloud infrastructure. The company bills for its time as a client services firm and has a culture centered on human-centered design, modern engineering, and delivering meaningful, impactful work connected to the public good.
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.
Coordinate end-to-end provider onboarding and offboarding processes, managing cross-functional tasks and deliverables to ensure a seamless provider experience.
Develop and maintain standardized workflows and documentation, collaborating with compliance, training, and communications teams to support regulatory adherence and operational readiness.
Serve as a subject matter expert for system modernization, process improvement, and project risk management to enhance provider lifecycle management and satisfaction.
SCAN is a nonprofit health organization dedicated to improving care for older adults through services like Medicare Advantage and integrated care models. With over 500,000 members, more than $8 billion in annual revenue, and operations across multiple states, it fosters a values-driven culture grounded in purpose, accountability, and respect for the communities it serves.
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.
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.
Supervise, train, and support provider enrollment staff responsible for licensing, credentialing, and payer enrollment activities.
Monitor work quality and quantity, develop performance standards, and conduct audits on specific accounts or individual work.
Interpret complex healthcare regulations and draft departmental processes while managing employee relations, schedules, and performance reviews.
Ventra Health is a leading business solutions provider specializing in Revenue Cycle Management for facility-based physicians in fields like anesthesia and emergency medicine. The company partners with practices and hospitals to deliver transparent, data-driven financial solutions, fostering a culturally diverse and inclusive workplace where mutual respect is paramount.
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.
QGenda redefines healthcare workforce management with a unified software platform, empowering organizations to onboard, deploy, and manage their workforce. It has over 800 employees across the US, fostering a dynamic work environment focused on growth, innovation, and making a difference for customers.
Supervise daily operations of the Medical Staff Office, ensuring efficient workflow and timely completion of credentialing activities.
Provide oversight for credentialing, privileging, and medical staff administrative processes in compliance with regulatory and accreditation standards.
Support medical staff meetings and committees, and maintain the integrity of the credentialing database.
Hillsboro Medical Center is part of OHSU, Oregon's only public academic health center, which cares for patients, leads groundbreaking research, and trains healthcare professionals. As Portland's largest employer, it is a system of hospitals and clinics across Oregon and Southwest Washington striving to be an anti-racist, multicultural institution.
Build trusting relationships with patients and providers, engaging high-risk populations through various communication methods to address health needs and support whole-person care.
Strengthen connections between patients and healthcare systems by coordinating referrals, appointments, and community resources to close care gaps and improve quality outcomes.
Accurately document interactions in EHRs, utilize technology tools, and meet performance indicators related to patient engagement, quality measures, and cost reduction.
Guidehealth is a data-powered, performance-driven healthcare company dedicated to making great healthcare affordable and improving patient outcomes while restoring fulfillment for providers. It is a growing, remote-first organization with an agile and collaborative culture that encourages cross-functional support and ongoing learning.
Own critical components of the provider lifecycle, driving readiness to see members on the platform and scalable growth.
Identify bottlenecks and implement improvements that accelerate time-to-platform and strengthen provider engagement.
Improve systems and workflows through automation and process design, reducing manual work and operational risk.
Maven is the world's largest virtual clinic for women and families, aiming to make healthcare accessible for everyone. With over 2,000 employers and health plans as clients, Maven provides comprehensive support spanning fertility, maternity, parenting, and menopause. He fosters an award-winning culture.