Review and validate medical provider enrollment applications for accuracy and compliance.
Verify provider data via internal databases and external agencies, and set up EFT accounts.
Communicate with providers and departments to resolve discrepancies and provide application guidance.
Broadway Ventures transforms challenges into opportunities with expert program management, cutting-edge technology, and innovative consulting solutions. As an 8(a), HUBZone, and Service-Disabled Veteran-Owned Small Business, we empower clients with tailored solutions, built on integrity, collaboration, and excellence.
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.
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.
Manage a team of licensing and credentialing specialists, overseeing end-to-end provider enrollment with states and health plans.
Own the enrollment strategy across clinical specialties, payers, and geographic states to ensure coverage for midlife patients.
Leverage data to proactively identify gaps in process and clinician coverage, driving process improvements.
Pomelo Care is a leading virtual medical practice for women and children, offering comprehensive care across pregnancy, postpartum, pediatrics, menopause, and perimenopause. It is a fast-moving, well-funded startup with a collaborative, patient-first culture.
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.
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.
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.
Process enrollment and billing tasks through multiple channels while managing an assigned caseload.
Develop a comprehensive understanding of Oscar's enrollment and billing processes, tools, and regulations.
Monitor work-in-progress, escalate issues, and support process improvement initiatives.
Oscar is a health insurance company built around a full-stack technology platform and a relentless focus on serving its members. Founded in 2012, Oscar behaves like a doctor in the family, and fosters a culture where people can be their most authentic selves.
Serve as the primary contact for incoming patient inquiries, guiding families through the enrollment process with a warm, patient-centered approach.
Manage enrollment documentation, scheduling, and system updates across Salesforce and Athena to ensure timely and accurate processing.
Collaborate with scheduling teams and providers to support families, demonstrate excellent communication, and meet service level agreements.
Cortica is a rapidly growing healthcare company pioneering effective treatment methods for children with neurodevelopmental differences. The team is mission-driven, celebrates diversity, and fosters an inclusive, collaborative culture where every member contributes to the vision of cultivating the full potential of every child.
Lead the administrative engine behind payer contracts, membership, payment distribution, and client services for IPA operations.
Partner with IPA leadership and cross-functional teams to drive strategic initiatives and value-based care performance.
Mentor and manage a team including Operations Specialists and Membership Associates, while coordinating payer meetings and reporting.
Aledade PBC is a public benefit corporation that empowers independent primary care practices to thrive in value-based care. Founded in 2014, it has grown into the largest network of independent primary care in the U.S., with a collaborative, remote-first culture.
Facilitates intake, admission, and outreach for incoming patients, including insurance eligibility checks and assigning clients to clinical outreach specialists.
Maintains enrollment documentation, databases, logs, and census sheets while recording interactions in the operating system.
Works cross-functionally with sales, outreach, care delivery, and RCM teams, and answers incoming calls and emails.
Vynca provides comprehensive care for more quality days at home, transforming care for individuals with complex needs. They are a close-knit community guided by core values of Excellence, Compassion, Curiosity, and Integrity.
Manage a queue of licensing requests, ensuring accuracy and compliance with state requirements.
Review and quality-check license applications and primary source verifications, submitting them as needed.
Communicate with providers, clients, and internal teams to resolve deficiencies and support timely licensure.
Medallion builds a provider operations platform that automates licensing, credentialing, payer enrollment, and compliance monitoring for healthcare organizations. As one of the fastest-growing healthcare technology companies, Medallion is backed by $130M in funding from top investors and recognized as a great place to work.
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.
Help members navigate US health insurance, including billing questions, denied claims, and appeals.
Coordinate with providers, insurers, and members to resolve coverage issues and prior authorizations.
Translate complex insurance benefits into clear guidance and identify trends to improve the member experience.
This company provides a global safety net for remote workers, offering health, income, and travel coverage. It operates as a remote-first organization with a culture of empathy, integrity, and a mission to improve access to healthcare worldwide.
Own customer issues from start to finish while investigating and troubleshooting payer enrollment and credentialing inquiries.
Manage a high-volume support queue with timely, accurate, and thoughtful email responses.
Collaborate with Customer Success, Product, Engineering, and Operations to resolve complex issues and improve processes.
Medallion builds a provider operations platform that automates licensing, credentialing, payer enrollment, and compliance monitoring for healthcare organizations. It is a fast-growing healthcare technology company backed by $130M in funding, recognized as a top startup and a Glassdoor Best Place to Work.
Own Medicare billing, provider enrollment, and compliance for the group.
Review and release every claim before it goes to Medicare, checking codes and documentation.
Support physicians and their offices with billing questions, onboarding, and payment reports.
Integrated Complex Care Associates (ICC) is a California physician group that serves patients with complex health needs, led by each patient's own primary physician. The team is building its billing function from the ground up, so this role is the first full-time hire and offers a hands-on, independent culture.
Maintain provider rosters and demographic data in internal systems.
Process provider requests, collect documentation, and prepare contract agreements.
Flag workflow issues and help audit provider-facing materials.
Sana is a health plan solution for small and midsize businesses, offering integrated primary care and affordable benefits. Founded in 2017, Sana is remote-first with a fully distributed team across the U.S., valuing curiosity, ownership, and speed.
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.
Monitor facility engagement and drive adoption of a clinical intelligence platform.
Conduct outbound calls, email campaigns, and train users to improve workflow compliance.
Collaborate with cross-functional teams to support performance and continuity of care.
The company provides a clinical intelligence platform that improves care coordination and communication across post-acute care facilities. The team works in a fast-paced, remote environment with a collaborative culture focused on relationship-building and improving patient outcomes.