Source Job

• Manage primary source verification and credentialing processes for healthcare professionals, including licensure verification and databank queries.
• Compile and assemble qualification packages for review by the customer's Security & Credentialing Office.
• Supervise support staff and ensure compliance with DHA directives and credentialing procedures.

Planned Systems International (PSI) provides healthcare credentialing and privileging support for mission-critical programs. The company offers a competitive total compensation package including medical, dental, vision, 401(k) matching, and professional development opportunities.

• Supports credentialing and enrollment teams by managing data across Monday.com, Airtable, and Credential Stream.
• Drives process improvement initiatives and develops progress reports to keep stakeholders informed.
• Collaborates with enterprise stakeholders to maintain accurate data sharing and best practices.

United Vein & Vascular Centers is a leading provider of comprehensive vein and vascular care with over 60 clinics across multiple states. The company emphasizes minimally invasive procedures, cutting-edge technology, and a patient-centric approach to deliver superior outcomes.

• Ensure accurate credentialing by organizing applications and verifying education, licensure, and certifications.
• Take full responsibility for credentialing tasks, providing regular updates to stakeholders to avoid delays.
• Manage and submit documentation for client approval, ensuring compliance with specific requirements and deadlines.

Curative is the recruiting arm of Doximity, a leading clinical AI company with a network of over 85% of U.S. physicians. They offer a supportive culture focused on teamwork, flexibility, and professional growth.

• Support the full credentialing lifecycle, from initial applications to renewals and ongoing maintenance.
• Manage provider enrollment processes with payers, including application submission, follow-up, and status tracking.
• Keep provider records accurate and audit-ready while ensuring compliance with regulatory standards.

Thyme Care is a market-leading value-based oncology care enabler that partners with health plans, providers, and employers to improve outcomes for people with cancer. It is a tech-native startup that values human connection, diversity, and inclusion.

• Manage provider credentialing and re-credentialing with commercial payers, Medicare, Medicaid, and managed care organizations.
• Prepare and submit accurate medical claims with proper CPT, HCPCS, and ICD-10 coding to minimize denials and delays.
• Reconcile payments, investigate denials, and maintain compliance with HIPAA and payer requirements.

• Support daily care operations across clinical and patient-facing teams, ensuring processes run smoothly and tasks are completed accurately.
• Maintain clinician schedules, coordinate coverage changes, and support workforce planning and capacity management.
• Manage licensure and credentialing activities, track requirements, and support compliance monitoring.

Color Health operates the nation's first Virtual Cancer Clinic, providing physician-led multidisciplinary cancer care across all 50 states. It is a fast-paced startup environment focused on innovation and meaningful work, aiming to close cancer care gaps with empathy.

• Provides administrative support to clinical teams including building medical management records and managing authorizations.
• Conducts fax and telephonic outreach to members and providers for status updates and engagement.
• Supports compliance monitoring and documentation in the medical management system.

Capital Blue Cross is a health insurance provider dedicated to improving the health and well-being of its members and communities. They are recognized as one of the "Best Places to Work in PA" with a culture focused on support, flexibility, and community involvement.

• Own end-to-end provider onboarding, credentialing, and recredentialing workflows.
• Prepare and submit state licensing and payor enrollment applications.
• Maintain compliance records and communicate status updates to stakeholders.

Sprinter Health brings healthcare directly to patients' homes, aiming to improve access to preventive and chronic care. The company has supported over 2 million patients across 22 states, raised over $125M, and maintains a 92 NPS with a team of clinicians, technologists, and operators.

• Prepare and review credentialing and recredentialing applications, provider updates, termination letters, and TIN change documents.
• Conduct biweekly follow-up with payers, track application progress, and maintain detailed records in internal systems and dashboards.
• Support team projects such as new provider onboarding, payer roster updates, and quality reviews while protecting confidential information.

Specialty Dental Brands is a dental support organization that partners with pediatric dentistry, orthodontics, and oral surgery practices across the country, empowering teams with technology, resources, and support. The company values a people-first culture, collaboration, continuous learning, and creating positive experiences for providers, practices, and employees.

• Manage provider system enrollments and maintain accurate CAQH profiles.
• Serve as the primary credentialing point of contact for providers and monitor enrollment requirements.
• Develop and maintain standard operating procedures for credentialing workflows.

Sailor Health is revolutionizing mental health care for older adults, addressing one of the fastest-growing and most underserved healthcare segments in America. As a remote-first team, they focus on providing compassionate, effective care to over 60 million seniors, fostering a culture of growth, ownership, and collaboration.

• Coordinate pre-services tasks including patient pre-registration and scheduling for hospital procedures.
• Verify insurance coverage and obtain authorizations to ensure timely patient care.
• Communicate effectively with patients and medical staff to facilitate smooth admissions.

Crestwood Medical Center is a hospital in Huntsville, Alabama, offering healthcare services. It is part of the Huntsville Hospital health system.

• Lead end-to-end provider onboarding and offboarding, including license pathways, compact assessments, and payer enrollments.
• Oversee multi-state licensing, credentialing, and payer enrollment operations to prevent lapses and ensure compliance.
• Manage and coach the L&C team, drive process improvements, and accelerate onboarding timelines.

Synapticure is a specialty care and life sciences company focused on neurodegenerative diseases like Alzheimer's, Parkinson's, and ALS. Founded by patients and caregivers, it operates a remote-first, 50-state clinical network and research engine with a culture of empathy, curiosity, and action.

• Own the end-to-end process for enrolling new providers with health plan partners.
• Work closely with new clinical hires and third-party vendor to manage license applications and renewals.
• Identify opportunities to improve licensing, credentialing, and enrollment processes to shorten time for clinicians to start seeing patients.

Pomelo Care is a virtual medical practice providing proactive, 24/7 clinical care for women and children across pregnancy, postpartum, pediatrics, menopause, and perimenopause. The company is a well-funded startup with a collaborative, data-driven culture focused on improving outcomes for all mothers and babies.

• Oversee daily operations of the Central Infusion Referral Center, managing referrals, prior authorizations, and intake processes.
• Lead and develop a team while performing intake coordinator duties at least 50% of the time.
• Drive performance improvement initiatives and ensure compliance with payer requirements and accreditation standards.

UnityPoint Health is a healthcare system delivering comprehensive care, including infusion therapy, across Iowa, Illinois, and Wisconsin. It is recognized as a Top 150 Place to Work in Healthcare, with a culture focused on belonging, employee recognition, and professional development.

• Coordinate retrieval of Attending Physician Statements and medical documentation from medical facilities and physicians.
• Communicate with physicians and stakeholders to obtain outstanding reports and maintain accurate records.
• Manage high-volume requests in a target-driven environment while balancing productivity, quality, and customer service.

They are a healthcare services organization supporting insurance and healthcare-related processes. They maintain a collaborative, inclusive team culture focused on continuous improvement and professional growth.

• Process incoming medical referrals, enter accurate data into medical management systems, and assign appropriate healthcare providers.
• Review referrals for benefits and medical necessity, escalate sensitive cases for clinical assessment, and apply ICD-10 and CPT codes.
• Communicate with military treatment facilities and civilian providers, respond to inquiries, and manage referral tasks within established timelines.

This position is listed on behalf of a partner company that manages all applications and next steps. The company supports healthcare service delivery by ensuring medical referrals are processed accurately and efficiently within a structured, collaborative remote team.

• Serve as the first point of contact for patients in person and by phone, delivering excellent customer service.
• Process new orders, verify insurance, obtain authorizations, and gather documentation for accurate billing.
• Perform data entry, collect payments, and make outbound satisfaction calls to patients and referrals.

Accendra Health makes essential healthcare products and services accessible outside traditional settings. With over 6,000 teammates in 250+ locations under Apria and Byram Healthcare, it offers meaningful work focused on personalized, long-term care.

• Perform patient care and administrative/clerical tasks under the direction of physicians, NPs, RNs, or LPNs.
• Support providers by coordinating patient care, handling telephone triage, patient outreach, and medication refill requests.
• Use electronic medical records and your CMA expertise to help patients navigate their healthcare needs in a remote setting.

Sentara Health is a not-for-profit integrated healthcare system serving Virginia and Northeastern North Carolina, with hospitals, medical groups, and more. Its nearly 30,000 employees enjoy an inclusive culture and it has been named 'Employer of Choice' for over a decade.

• Own end-to-end NCQA Utilization Management reporting across Medicaid markets.
• Collaborate with clinical, operational, and compliance teams to ensure accurate, timely deliverables.
• Support governance committees, corrective actions, and accreditation activities.

Healthcare operations company specializing in Medicaid utilization management, regulatory compliance, and policy governance. It operates across multiple markets with a collaborative, multidisciplinary team culture.

• Monitor, track, and update websites and program Extraordinary Circumstances Exceptions (ECE).
• Respond to provider questions via phone, email, and the Q&A tool, and assist with moderating educational teleconferences/webinars.
• Identify trends and education needs based on provider, stakeholder, and QIN needs, and assist with development of education activities and content.

Health Services Advisory Group (HSAG) is transforming healthcare delivery in the United States. They are a growing team dedicated to improving healthcare quality for everyone.