Source Job

• 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 end-to-end process of licensing applications.
• Coordinate the initial credentialing and re-credentialing processes for licensed providers.
• Maintain accurate and up-to-date records of all licensing and credentialing activities.

InStride Health delivers specialty anxiety and OCD care. They combine research-backed clinical care and innovative technology to eliminate the major problems with care today, and become the nation’s most trusted provider of pediatric anxiety and OCD care.

• 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.

• Owns and manages the organization’s enterprise certification frameworks.
• Develop and maintain policies and procedures supporting certification frameworks.
• Support proposal teams by validating and documenting certification compliance.

Lynker Corporation is a leading provider of innovative solutions in weather and climate science. They leverage cutting-edge technologies and scientific expertise to support improved operational weather forecasts. Lynker is a growing, employee-owned business specializing in professional, scientific, and technical services with a team-oriented work environment.

• Own and manage shared inboxes and ensure timely review, triage, escalation and routing of requests
• Identify trends, risks, or recurring issues and ensure escalation and action planning
• Conduct compliance audits, write corrective action plans and work with department managers to ensure timely completion and compliance with local, state and regulatory requirements

Centene is transforming the health of communities, one person at a time. As a diversified, national organization, they offer competitive benefits and a fresh perspective on workplace flexibility.

• Apply compliance frameworks to assess, design, and implement security controls.
• Conduct compliance gap assessments and develop remediation plans.
• Create and maintain key documentation tailored to client needs.

AHEAD builds platforms for digital business by weaving together advances in cloud infrastructure, automation and analytics, and software delivery. They prioritize creating a culture of belonging where all perspectives and voices are represented, valued, respected, and heard.

• 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.

• Provide day-to-day compliance support for Gravie’s Individual Coverage Health Reimbursement Account (ICHRA) line of business.
• Manage and oversee regulatory filings, facilitate response to regulatory complaints, and execute regulatory change management process.
• Provide general compliance support and expertise to operational areas, and perform risk-based oversight audits.

Gravie aims to create health benefits that actually benefit small and midsize businesses and their employees. Their innovative benefit solutions and services are developed and delivered by a diverse group of unique people, and they encourage employees to be their authentic selves.

• 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.

• Establishes and maintains a document management system for regulatory electronic files.
• Maintains FDA and GCP required regulatory documentation for individual sites, studies, sponsors and/or other networks.
• Modifies and/or develops informed consent forms and updates and manages protocol, investigator drug brochure and consent form modifications or amendments in compliance with IRB policy and HIPAA.

Sarah Cannon Research Institute (SCRI), a subsidiary of McKesson, is one of the largest community-based cancer programs advancing oncology treatments and improving outcomes for cancer patients globally. They look for mission-driven candidates who want to advance the fight against cancer and make a difference in patients' lives.

• Serve as first point of contact to clients, answering questions and providing guidance on affordable housing compliance.
• Review applicant/resident files electronically to ensure adherence to federal and state program regulations.
• Provide thorough written communication to relay file deficiencies and convey understanding of comments and questions.

RealPage provides software and data analytics to the real estate industry. They are committed to creating an inclusive environment for all employees and offer professional development opportunities.

• Manage federal contract administration and regulatory compliance.
• Serve as owner of the organization’s GSA Multiple Award Schedule (MAS) contract(s).
• Provide internal legal and procedural support for agency-level protests.

Lynker Corporation is a leading provider of innovative solutions in weather and climate science. They leverage cutting-edge technologies and scientific expertise to support the creation and delivery of improved operational weather forecasts. Lynker is a growing employee-owned business with a team that combines scientific expertise with mature, results-driven processes and tools.

• Independently prepare IRB documents, maintain regulatory files, and facilitate regulatory oversight of safety reporting for over 35 trials per year.
• Serve as the internal project manager for assigned oncology disease groups, providing timely updates on submission status and regulatory guidance on study development.
• Act as the liaison between sponsors, investigators, Winship, Emory IRBs, external IRBs, and internal departments, ensuring all facets of each protocol are compliant.

Emory University is a leading research university that fosters excellence and attracts world-class talent. Winship Cancer Institute of Emory University is Georgia's only National Cancer Institute-designated Comprehensive Cancer Center dedicated to discovering cures for cancer and providing innovative therapies and clinical trials.