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.
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.
Manage the end-to-end credentialing process for assigned therapists, ensuring compliance with all requirements.
Review credentialing documents, complete primary source verifications, and maintain accurate records in multiple systems.
Partner with cross-functional teams to resolve issues and support timely onboarding.
Luna is revolutionizing the delivery of physical therapy by providing in-home care. The company is a start-up with a supportive leadership culture that offers opportunities for growth.
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.
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.
Guide learners through third-party vendor accounts, documentation, and background checks.
Monitor learner progress for large cohorts and implement corrective actions.
Support training and mentoring of Specialists I and II.
Nightingale Education Group focuses on higher learning in healthcare professions, elevating education, health, and employment systems. They have graduated nearly 5,000 nurses and serve diverse communities with a blended-distance learning platform.
Collect, verify, and maintain provider credentials such as education, licensure, and malpractice insurance.
Enroll providers with Medicare, Medicaid, and commercial insurance payers.
Maintain provider profiles in CAQH and track credential expiration dates for timely renewals.
Foodsmart is a telenutrition and foodcare solution backed by a network of Registered Dietitians, guiding 2.2 million members toward healthier food choices. The company is a remote-first team with a mission-driven culture and recently secured a $200 million investment from TPG's Rise Fund.
Coordinate credentialing, payer enrollment, and recredentialing for clinicians.
Maintain provider data across CAQH, NPPES, PECOS, and payer portals.
Track contracts, follow up with payers, and escalate delays to ensure billing readiness.
Legion Health is a full-stack, AI-native psychiatry network delivering mental health care at scale. It's a fast-paced startup focused on using AI to automate care operations, with a culture of adaptability and process improvement.
Coordinate clinician onboarding by maintaining accurate ATS records and distributing required credentialing documentation.
Verify licenses, certifications, education, and background checks to ensure compliance with state, federal, and Joint Commission standards.
Track expiring credentials, communicate renewal requirements, and proactively manage compliance deadlines to maintain clinician eligibility.
International SOS Government Medical Services supports healthcare programs that improve patient care and operational readiness across the U.S. and internationally. Founded in 1984, the company operates in more than 90 countries, delivering healthcare, medical assistance, emergency response, and workforce support services worldwide.
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.
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.
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.
Own and manage multi-state provider licensing, ensuring zero lapsed licenses.
Run the full new-state licensing process, including vendor and board communication.
Maintain a real-time system of record for provider license status and compliance.
Honeydew builds clinical infrastructure to connect patients with providers quickly and reliably. They have helped over 40,000 patients and are growing 5x year over year.
Review and analyze provider applications and documentation to determine eligibility for the global provider network.
Verify credentials, licenses, and qualifications against country-specific requirements and company standards.
Maintain accurate provider records and collaborate with internal stakeholders on compliance.
ComPsych is the world's largest provider of mental health services and GuidanceResources® for life, serving over 163 million individuals across 200 countries. Over 40% of the Fortune 500 choose ComPsych for their mental health needs.
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.
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.