Serve as the main point of contact for providers, resolving escalated issues and maintaining positive relationships.
Manage internal projects to improve provider experience, including education on best practices and policies.
Use data analysis and tools like Excel and Salesforce to investigate issues and reduce provider abrasion.
Clover Health provides high-quality, affordable healthcare plans for America's seniors by leveraging data and technology through the Clover Assistant. The company is a mission-driven, remote-first organization with a focus on diversity and inclusion, employing a team of passionate professionals.
Analyze and investigate practitioner information using health information systems to distribute credentialing and enrollment packets.
Prepare and distribute data for state, federal, and commercial carriers, ensuring compliance with legal and regulatory requirements.
Collaborate with internal departments and partners to achieve accurate credentialing, timely enrollment, and compliant billing status.
OHSU is Oregon's only public academic health center, combining patient care with groundbreaking research and training the next generation of healthcare professionals. As Portland's largest employer, OHSU offers opportunities to learn and advance in a system of hospitals and clinics across Oregon and Southwest Washington, fostering an inclusive, anti-racist multicultural institution.
Provide day-to-day guidance, training, and support to credentialing associates.
Design, document, and implement scalable credentialing workflows and standard operating procedures.
Maintain accurate provider information, track application statuses, and analyze data to improve efficiency.
BetterHelp aims to remove traditional barriers to therapy and make mental health care more accessible. Founded in 2013, it is the world’s largest online therapy service, with a network of over 30,000 licensed therapists and a team of clinicians, engineers, marketers, and business leaders committed to expanding access.
Coordinate and streamline team workflows and resources to support the VP of Population Health Impact.
Apply project management principles to manage special projects, scrum tracking, and process documentation.
Foster cross-functional collaboration with departments like business development and clinical teams.
Aledade is a public benefit corporation that empowers independent primary care practices by creating value-based contracts with health plans. Founded in 2014, it has become the largest network of independent primary care in the country, fostering a collaborative, inclusive, and remote-first culture.
Serve as the primary point of contact for physicians, clinics, and healthcare stakeholders, ensuring consistent communication and trusted relationships.
Support healthcare providers in navigating patient assistance programs, including enrollment, reimbursement, and therapy access processes.
Manage and complete all required documentation such as special authorizations, prescription renewals, and enrollment forms with accuracy and timeliness.
Jobgether is an AI-powered job matching platform that connects candidates with hiring companies. They use technology to ensure fair and efficient recruitment processes, and foster inclusive employee programs.
Prepare materials for ACO board meetings and coordinate key events for providers and field teams.
Assist in designing and implementing financial and KPI reports using business intelligence tools.
Monitor compliance activities and support special projects and data requests as needed.
Aledade empowers independent primary care practices to thrive in value-based care. Founded in 2014, it is the largest network of independent primary care in the US, with a collaborative, inclusive, and remote-first culture.
Build, document, and maintain end-to-end SOPs for payer contracting, enrollment, and credentialing workflows.
Design quality controls and error-catching checkpoints that reduce rework and rejected applications.
Conduct persistent, proactive follow-up with payers to push applications through to approval.
Allara is a comprehensive women's health provider that specializes in expert, longitudinal care for women through every life stage. Trusted by over 60,000 women nationwide, Allara is one of the fastest-growing women's health platforms in the U.S., bridging gaps in healthcare for women.
Prepare materials such as board presentations and meeting minutes for ACO board meetings.
Coordinate key events like ACO retreats and kick-offs for providers and field teams.
Design and implement key reports using business intelligence and CRM tools.
Aledade is a public benefit corporation that empowers independent primary care practices to thrive in value-based care. Founded in 2014, it has become the largest network of independent primary care in the country, with a collaborative, inclusive, and remote-first culture.
Handle referral coordination, appointment scheduling, insurance verification, and medical records requests for members.
Communicate updates to providers and members, ensuring world-class service and access to high-quality doctors.
Work collaboratively in a fast-paced virtual care team, managing multiple priorities with excellent attention to detail.
Included Health is a healthcare company that delivers integrated virtual care and navigation, breaking down barriers to provide high-quality care for everyone. The company offers care guidance, advocacy, and access to virtual and in-person care across various health needs.
Manage document workflows, including processing, quality assurance, and adherence to internal procedures.
Conduct incoming claim reviews, assign statuses, organize data, ensure accuracy, and route files to auditors.
Collaborate with internal teams to maintain the import queue, reconcile balances, validate charges, correct errors, and manage claim routing.
Machinify is a leading healthcare intelligence company delivering value, transparency, and efficiency to health plan clients. Deployed by over 85 health plans, including many of the top 20, and representing more than 270 million lives, they foster a collaborative culture focused on innovation and results.
Conduct Chronic Care Management follow-up calls and build positive patient relationships.
Accurately document patient interactions and maintain tracking logs using Google Drive and Sheets.
Coordinate care activities, monitor patient progress, and ensure HIPAA compliance.
SnappyCX provides healthcare staffing and management solutions, specializing in chronic care management and remote patient support. The company is a growing organization that values bilingual, self-motivated professionals in a fully remote, collaborative environment.
Serve as the primary liaison with ASHA to maintain a positive relationship and ensure compliance with CE requirements.
Audit and confirm course rosters, generate CE course promotional materials, and ensure accurate registration of all course offerings.
Provide customer follow-up to learners and support the LMS platform for troubleshooting and maintaining self-study offerings.
Lingraphica is a mission-driven organization that provides speech-generating devices to help improve communication, speech, and quality of life for people with aphasia. They seek candidates who enjoy working in a fast-paced, goal-oriented environment and share their commitment to helping individuals on their aphasia journey.
Oversee end-to-end health plan enrollment process and manage vendor performance.
Ensure accurate and timely processing of enrollment requests while maintaining compliance with SLAs.
Act as subject matter expert in payer enrollment requirements and resolve enrollment delays.
Medallion is a healthcare technology company that automates licensing, credentialing, and compliance monitoring for healthcare organizations. It is one of the fastest-growing healthcare technology companies, ranked #3 on Inc. Magazine's 2024 Fastest-Growing Private Companies in the Pacific Region and a Glassdoor Best Place to Work in 2024 & 2025.
Own a portfolio of strategic memberships and drive member satisfaction, retention, and revenue growth.
Manage contract renewals, negotiate terms, and identify cross-sell and upsell opportunities.
Coordinate cross-functionally with internal teams to deliver a high-touch member experience and resolve issues.
Health Evolution is a selective membership organization for chief executives and influential leaders in healthcare. The company hosts summits and peer networks, serving a membership of top healthcare leaders.
Consistently practices Patients First philosophy, responding to questions, forwarding issues, and maintaining patient confidentiality per HIPAA.
Collects patient demographic information, schedules appointments, performs medical necessity checks, and provides out-of-pocket cost estimations.
Utilizes online systems for order retrieval, insurance verification, and accurate documentation in Epic; proactively analyzes account activity and suggests process improvements.
Northwestern Medicine is a leader in the healthcare industry, putting patients first in every interaction. It offers competitive benefits including tuition reimbursement, loan forgiveness, and 401(k) matching, and fosters a collaborative workplace.
Coordinate and monitor provider/facility payer credentialing and re-credentialing processes.
Send, review, and verify credentialing applications and maintain provider information in online database.
Track license and certification expirations and ensure timely renewals for medical staff.
Bozeman Health is a healthcare organization dedicated to caring for the communities of Southwest Montana. They foster a Culture of Excellence emphasizing high performance, transparent communication, and continuous learning.
Support the end-to-end credentialing pipeline for OCN providers, coordinating day-to-day with our third-party credentialing vendor.
Track application status across payers and providers, flagging delays and at-risk timelines to internal stakeholders.
Maintain accurate, up-to-date tracking across credentialing operations and coordinate with RCM and Operations teams.
Osmind is a healthcare technology company purpose-built for psychiatric practices offering interventional treatments like Spravato, TMS, and ketamine. We are a Series B company with a small, high-trust team that moves fast and does meaningful work.
Contact employers and insurers via phone, email, or fax to verify information and obtain claim documentation.
Manage inbound and outbound calls, compile billing packets, and file insurance claims.
Perform accurate data entry in several systems while handling confidential patient health information under HIPAA guidelines.
EnableComp provides Specialty Revenue Cycle Management solutions for healthcare organizations, leveraging over 24 years of industry-leading expertise and its unified E360 RCM platform. The company is a multi-year Top Workplaces award recipient and has been on the Inc. 5000 list for eleven years.
Lead the development and management of a geographic medical network for our health plan.
Negotiate, review, and amend contracts with physicians, physician groups, facilities, and ancillary medical providers.
Monitor and report network adequacy and quality, ensuring compliance with regulatory requirements.
Evry Health, a Globe Life company, is on a mission to bring humanity to health insurance with high-technology health plans that expand benefits and increase access. Globe Life has 16.8 million policies in force and more than 3,000 corporate employees.
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.