Manage day-to-day credentialing and re-credentialing workflows for Tia’s provider network.
Support medical licensing workflows for MDs, DOs, NPs, PAs, and RNs across multiple states, including tracking requirements, deadlines and renewals.
Track onboarding progress and help ensure providers are licensed, credentialed, enrolled, and compliant before go-live.
Tia is building a new model for women’s healthcare, one that treats women as whole people. They are a Series D, venture-backed company trusted by more than 120,000 women across four markets, building a culture of excellence in people, process, and product.
Processes initial and reappointment assignments for hospitals and surgical centers.
Maintains accurate records of providers' credentials, licensure, and continuing education.
Updates credentialing databases and ensures compliance with accreditation standards.
US Anesthesia Partners is a national healthcare organization specializing in anesthesia services. The company is an equal opportunity employer focused on clinical excellence and supporting its staff of medical professionals and administrative employees.
Ensure timely and accurate processing of credentialing and recredentialing for both individual practitioners and organizations.
Coordinate Credentialing Committee meeting, including preparing the agenda and documenting meeting minutes.
Identify missing or erroneous information from the provider’s application, and communicate with the provider to obtain.
Blue Cross Blue Shield of Arizona aims to fulfill its mission to inspire health and make it easy. They offer a variety of health insurance products and services as well as providing information and tools to help individuals make better health decisions. At AZ Blue, they have a hybrid workforce strategy, called Workability, that offers flexibility with how and where employees work.
Own team-wide performance metrics and translate the care model into operational workflows and performance targets.
Lead and develop a team of behavioral health care managers and leads, building a culture that is accountable, collaborative, and mission-driven.
Partner with clinical, finance, and operations teams to ensure care delivery performs against clinical, operational, and financial goals.
Protocol provides cancer-specific behavioral health treatment to patients by partnering with oncology clinics and cancer centers. We are a fast-growing, early-stage company focused on expanding access to care through strong partnerships with leading oncology providers.
Supervise day-to-day operations of assigned Utilization Management staff.
Provide full people management for assigned Utilization Management teams, including hiring and performance management.
Drive team performance against key metrics, including engagement, productivity, and quality scores.
Personify Health has created a personalized health platform, bringing health plan administration, wellbeing solutions, and care navigation together. Their data-driven solutions aim to reduce costs while improving health outcomes, empowering people to lead healthier lives.
Processes applications for credentialing and privileging, both initial and reappointment, adhering to policies and procedures related to legal, state, OHSU, DNV, TJC, and NCQA guidelines.
Investigates and validates discrepancies and adverse information from applications and primary source verifications, communicating with credentialing contacts ensuring timely and accurate completion.
Maintains practitioner credential files, containing confidential peer review information, and updates credentialing databases with detailed documentation during all steps, from receipt of application to processing completion.
OHSU is Oregon's only public academic health center, focused on patient care, research, and training the next generation of healthcare professionals. As Portland's largest employer, OHSU provides opportunities for learning and advancement within its system of hospitals and clinics.
Lead and inspire a team of Patient Support Specialists.
Establish and refine team KPIs related to outreach volume and scheduling conversions.
Partner with clinical, engagement, and product teams.
Zócalo Health is the first tech-driven provider built specifically for Latinos, by Latinos. They are developing a new approach to care that is designed around shared and lived experiences and brings care to the community. The company was founded in 2021 and is backed by leading healthcare and social impact investors.
Manage end-to-end delegated credentialing operations across an assigned portfolio of payors.
Prepare, coordinate, and execute both pre-delegation and annual credentialing audits.
Build and deliver reporting packages for submission to delegated entities & payors.
Grow Therapy is a company that serves as a trusted partner for therapists growing their practice, and patients accessing high-quality care. They are powered by technology as a three-sided marketplace that empowers providers, augments insurance payors, and serves patients with over ten thousand therapists and hundreds of thousands of clients across the country.
Management and oversight of a quality team conducting quality assurance activities.
Responsible for the successful execution of the Quality Improvement Program in accordance with CMS requirements.
Plans, organizes, and directs activities of Clinical Quality, including planning, training, and staff development.
HealthEdge is committed to workforce diversity and actively encourages all qualified persons to seek employment. They provide effective and efficient solutions to complex business problems.
Research, interpret, and evaluate information relevant to provider licensure and continuing medical education in the United States.
Complete applications for provider credential, licensure or payor enrollment on behalf of Certify customers.
Validate and authenticate information updated on the credentialing, licensing platform and ensure 100% accuracy.
CertifyOS is building the data infrastructure that powers modern healthcare. Their API-first platform automates provider licensing, enrollment, credentialing, and network monitoring by connecting directly to hundreds of primary data sources. The company values authenticity, accountability, collaboration, results, and openness to feedback.
Supports issue resolution and maintains awareness of evolving program requirements.
Aptive partners with federal agencies to achieve their missions through improved performance, streamlined operations and enhanced service delivery. Founded in 2012 and based in Alexandria, Virginia, they employ 300+ nationwide and support more than a dozen agencies.
Managing the credentialing, payer enrollment, and provider onboarding processes for physicians and advanced practice providers.
Ensuring providers are credentialed, enrolled, and maintained with commercial and government payers in a timely and accurate manner.
Maintaining provider records, monitoring credentialing deadlines, and coordinating with payers and providers.
Modena Health (MH) and Modena Allergy & Asthma (MAA) are leading and rapidly growing medical practices specializing in allergy, asthma, and immunology care, with clinics across Southern California and Arizona, and ambitious plans for national expansion. They are physician-led, hospitality-focused, and technology-enabled, committed to transforming allergy care while advancing clinical research and expanding access to cutting-edge medicine.
Leads a team of clinicians and serves as a senior clinical owner for care delivery workflows.
Provides clinical support for program development and customer-facing clinical work.
Partners closely with Operations, Product, Member Success, Clinical Outcomes, Legal, Commercial, Customer Success, Solutions Consulting, and Marketing.
Carrot is a global, comprehensive fertility and family care platform, supporting members and their families through many of life's most memorable moments. Its award-winning products serve all populations, from preconception care through pregnancy, IVF, male factor infertility, adoption, gestational carrier care, and menopause.
Lead, mentor, and coach a team of Customer Success Managers, ensuring they deliver exceptional customer experiences.
Monitor and analyze team performance metrics to drive consistent and scalable customer success outcomes.
Communicate effectively, present ideas, and build partnerships with contacts both inside and outside your immediate area of expertise.
Turnitin is a recognized innovator in global education, partnering with educators and institutions to develop learning integrity solutions. With over 16,000 academic institutions, publishers, and corporations using their services, Turnitin fosters a remote-first culture that prioritizes overall well-being.
Manage initial credentialing and re-credentialing applications for physicians and mid-level providers across multiple U.S. states.
Complete and maintain CAQH ProView profiles, ensuring all provider data is accurate, current, and attestation-ready.
Submit and track payer enrollment applications with commercial insurance companies, Medicare, and Medicaid programs.
AMS Solutions is a leading medical billing and revenue cycle management company serving healthcare practices across the United States. They specialize in helping physicians maximize their revenue through expert billing, coding, credentialing, and practice management services.
Lead, inspire, and mentor a high-performing team, fostering a culture of excellence and continuous learning.
Own commercial outcomes including net revenue retention, growth, and enrollment target achievement.
Collaborate cross-functionally to drive quick resolutions that showcase our commitment to member satisfaction.
Maven Clinic is the world's largest virtual clinic for women and families, aiming to make healthcare work for all. It's a company of over 2,000 employees and is known for its award-winning culture and commitment to innovation and providing equity in benefits programs.
Manage end-to-end provider licensing, including application preparation, submission, and follow-up across multiple states.
Coordinate and track licensing timelines, proactively following up to avoid delays.
Assist with the development and maintenance of workflows and processes for licensing operations.
Midi Health is a virtual care clinic focused on helping women navigate perimenopause, menopause, and other midlife health challenges. At Midi, they’re building the future of women’s healthcare and growing quickly.
Manage a team of claims professionals including Claims Program Management, Training & Development, and Stop Loss/Travel operations.
Implement and manage a long-term strategy aligned with the division’s objectives.
Establish and monitor benchmarks and metrics for team performance.
Crum & Forster’s Accident & Health division (A&H) offers specialty insurance and reinsurance products nationwide. They focus on product development, creative distribution, and client service.
Lead and manage a team of late-stage collections team members focused on minimal skip-tracing.
Handle escalated customer loan issues and provide guidance on resolution of escalated matters.
Provide training to new hire staff ensuring appropriate knowledge of systems and adherence to company procedures and policies.
Lendbuzz believes financial opportunity should be more personalized and fair, developing innovative technologies for underserved borrowers. They are a diverse company with a culture valuing independent and critical thinking.
Lead, manage, and hold accountable the team of GUIDE Program Coordinators.
Own day-to-day compliance with the CMS GUIDE Model, ensuring eligibility and alignment.
Monitor and operationalize new and updated CMS GUIDE rules into clear workflows.
Ceresti Health provides personalized coaching, care coordination, and care planning to families. They are a quickly scaling company, focused on innovation and supporting caregivers of people living with dementia.