Manage end-to-end credentialing and payer enrollment for behavioral health providers and facilities.
Serve as subject matter expert on credentialing requirements, ensuring timely and compliant files.
Coordinate with HR, Talent Acquisition, and leadership to facilitate provider onboarding and resolve issues.
We are a leading provider of immediate-access behavioral health crisis care. We are physician-led and data-driven, with over 15 years of crisis care expertise, recognized as a national best practice.
Complete credentialing and re-credentialing applications for physicians, ancillary providers, and facilities with third-party payers and governmental programs.
Partner with client liaisons and payers to manage enrollment status, follow up on applications, and communicate updates to providers and clients.
BerryDunn is a professional services firm providing tax, advisory, and consulting services to businesses, nonprofits, and government agencies across the US. The firm is known for its client-centered, people-first culture and commitment to diversity, learning, and well-being.
Oversee credentialing workflows, quality, and compliance standards to ensure provider satisfaction and regulatory adherence.
Develop effective credentialing strategies based on data analysis, regulatory requirements, and operational observations.
Manage credentialing staff, provide coaching and feedback, and drive turnaround time improvement initiatives.
Sutherland is a global digital transformation company combining AI, automation, cloud engineering, and advanced analytics for iconic brands. It creates over 200 inventions and pairs human expertise with AI to unlock performance and deliver measurable results.
Prepare and manage provider credentialing and payer enrollment applications for commercial, Medicare, Medicaid, and other health plans.
Maintain accurate provider files including CAQH profiles, NPI information, state licenses, and other required documentation.
Monitor credentialing statuses through payer portals and communicate updates to leadership and providers.
Modena Health is a physician-led, hospitality-focused medical practice specializing in allergy, asthma, and immunology care, with clinics across Southern California and Arizona and plans for national expansion. The company values collaboration, positivity, and growth, aiming to hire great people and help them find meaning in its mission.
Serve as a supportive point of contact for onboarding providers, guiding them through paperwork and expectations.
Collect, verify, and review provider credentials, applications, and CAQH profiles for accuracy and completeness.
Maintain tracking records, update internal databases, and collaborate with cross-functional teams to meet provider start dates.
Privia Health is a technology-driven, national physician enablement company that partners with medical groups, health plans, and health systems to optimize practices and improve patient care. The company is led by top industry talent and exceptional physician leadership, with a culture that encourages employees to bring their whole selves to work.
Lead a production-focused pod of Operations Analysts and Credentialing Specialists, owning day-to-day credentialing operations.
Drive team performance by monitoring speed, quality, and efficiency metrics, ensuring SLAs are consistently met.
Coach, mentor, and train team members, conducting daily standups and weekly performance reviews.
CertifyOS builds the data infrastructure for modern healthcare, automating provider licensing, credentialing, and network monitoring. It is backed by leading investors and values authenticity, accountability, collaboration, results, and openness to feedback.
Execute day-to-day provider enrollment, credentialing, and licensing tasks under the guidance of Specialists and Team Leads.
Accurately input, maintain, and update provider data across credentialing databases and internal systems.
Identify and escalate issues, discrepancies, or complex cases to the appropriate team member in a timely manner.
Allara is a comprehensive women’s health provider specializing in expert, longitudinal care for hormonal, metabolic, and reproductive health. It is one of the fastest-growing women’s health platforms in the U.S., with a mission-driven, collaborative culture focused on bridging gaps in healthcare.
Responsible for credentialing and recredentialing practitioner applicants to ensure regulatory compliance.
Conducts primary source verifications, reviews applications, and communicates with healthcare practitioners to obtain missing information.
Maintains credentialing database, monitors provider expirables, and assists with audit reviews.
Curana Health provides value-based care solutions, including on-site primary care, Accountable Care Organizations, and Medicare Advantage plans, to senior living communities and skilled nursing facilities. Founded in 2021, the company has grown to serve over 200,000 seniors across 1,500+ communities in 32 states, employing more than 1,000 clinicians and staff, and was ranked #147 on the Inc. 5000 list of fastest-growing private companies.
Own the analytical core of advisory engagements, from data collection through quantitative analysis and financial impact modeling.
Manage day-to-day project execution for 16-24 week engagements, including workplans, client meetings, and deliverables.
Support building and scaling new advisory offerings by capturing feedback and creating repeatable delivery assets.
MRO is a healthcare company providing clinical data registries and advisory solutions to improve performance. Its MRO Advisory Solutions team is expanding with a build-focused, collaborative culture.
Lead credentialing and payer enrollment functions, setting strategic objectives and performance standards.
Manage vendor relationships and resolve enrollment-related revenue cycle issues.
Develop scalable processes, dashboards, and compliance initiatives to reduce backlogs and improve efficiency.
Jobgether is a platform that uses AI to match job seekers with opportunities. They partner with companies to manage applications and next steps, aiming to streamline the hiring process.
Respond to service requests from internal and external customers accurately and on time.
Maintain case documentation with precision to keep records audit-ready.
Compile and distribute monthly reports and data summaries for leadership.
Personify Health offers a personalized health platform combining health plan administration, wellbeing solutions, and care navigation. The company serves employers and health plans with data-driven solutions, fostering a mission-driven culture focused on improving health outcomes.
End-to-end credentialing and payer enrollment for multi-state providers across commercial and Medicaid plans.
Vendor governance and SLA performance management to ensure timely provider onboarding.
Delegated credentialing and audit readiness, including NCQA and MCO compliance.
Blackbird Health provides virtual and in-person mental health services for children across Pennsylvania, Virginia, New Jersey, and Maryland, focusing on a whole-child approach that integrates brain, body, and behavior. The company is clinician-founded and owned, with a collaborative, supportive, and innovative team that is expanding into new markets in 2027.
Own delegated credentialing operations across assigned payer relationships.
Manage payer audits, compliance reporting, and audit-ready credentialing files.
Support NP and group practice credentialing while partnering with internal teams.
Tava Health is reimagining mental health care to make it as accessible and stigma-free as a checkup, connecting patients with therapists and improving provider care. It is a fast-growing, mission-driven team leveraging technology to deliver high-quality mental health care to everyone.
Lead external customer audits and utilization management oversight activities as a subject matter expert.
Analyze complex UM data, investigate findings, and prepare evidence-based responses for regulators and accreditation organizations.
Collaborate with operational, technical, and client-facing teams to drive compliance and process improvements.
This company is a healthcare organization specializing in utilization management and regulatory compliance. It operates with a remote team across the United States, fostering a collaborative and improvement-driven culture.
Lead complex customer-facing consulting engagements for health plan customers, owning strategy from discovery to executive readout.
Analyze data to quantify operational, financial, and product adoption impact for customers.
Mentor consultants and develop reusable assets to advance the consulting practice.
NASCO provides technology solutions and consulting services for healthcare payers, helping health plans realize value from its product portfolio. The company supports a fully remote workforce and offers comprehensive benefits, with a focus on work-life balance.
Analyze and automate standard reporting requests for clients, working with implementation and account teams.
Build reports in Excel, Genesys, Calabrio, and Empower, and handle data discrepancy analysis.
Collaborate cross-functionally and innovate processes to improve reporting performance.
Personify Health created the first and only personalized health platform, bringing health plan administration, holistic wellbeing solutions, and comprehensive care navigation together in one place. They serve employers, health plans, and health systems with data-driven solutions that reduce costs while improving health outcomes, and their team is mission-driven and diverse.
Lead multiple Team Leads overseeing credentialing operations, ensuring efficiency, accuracy, and compliance.
Own client health KPIs, drive performance metrics, and resolve escalations to ensure SLAs are met.
Partner with internal teams to optimize workflows, implement process improvements, and ensure business continuity.
CertifyOS builds the data infrastructure that powers modern healthcare by automating provider licensing and credentialing. Backed by leading investors, they have a high-ownership team focused on solving real infrastructure problems for millions of patients.
Manage end-to-end facility credentialing and privileging for providers across SNFs nationwide.
Prepare and track credentialing applications, facility packets, and compliance files.
Coordinate with facilities to resolve credentialing, access, and EMR issues in a timely manner.
Limitlessli specializes in recruiting, hiring, and managing high-caliber remote staff for healthcare facilities, leveraging a global network to connect clients with qualified professionals. The company offers a flexible remote work environment where employees collaborate with an international team and contribute to a growing business.
Develop and maintain operational, clinical, quality, compliance, and executive dashboards supporting the LTSS program.
Transform complex healthcare, operational, and financial data into actionable insights for program oversight and improvement.
Partner with cross-functional teams to monitor performance indicators, support compliance, and drive data-informed decisions.
The hiring partner is a healthcare organization supporting a large-scale Long-Term Services and Supports (LTSS) program. The role offers substantial autonomy and cross-functional collaboration in a fully remote environment.
Perform high-quality medical record abstraction combining expert data management with medical terminology and coding.
Interpret complex clinical patient data for research, quality improvement, and regulatory reporting.
Ensure data integrity through quality assurance, protocol adherence, and mentoring peers.
Natera is a global leader in cell-free DNA testing focused on oncology, women's health, and organ health. Their team consists of dedicated professionals from world-class institutions who care deeply for their work and each other.