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.
Coordinate the end-to-end provider enrollment process, preparing and submitting applications to Medicare, Medicaid, and other payers.
Maintain accuracy of provider data in systems like NPPES, PECOS, and CAQH, and track facility privileging requirements.
Collaborate with internal teams to align enrollment timelines and ensure compliance with federal, state, and facility regulations.
Curana Health is a national leader in value-based care for older adults, providing primary care services and care coordination in senior living communities and skilled nursing facilities. Founded in 2021, the company serves over 200,000 seniors across 1,500+ communities and employs more than 1,000 clinicians, with a fast-paced, mission-driven culture.
Prepare and submit provider enrollment applications and gather supporting documentation.
Track application status, follow up with payers, and resolve enrollment discrepancies.
Maintain accurate provider records in internal systems and coordinate with billing and credentialing teams.
We are a medical services company providing outsourced billing, coding, and claims processing solutions for provider groups and hospitals. Our team is fully remote and we value collaboration and attention to detail.
Manage end-to-end provider licensing, payer enrollment, and credentialing operations.
Build scalable internal processes and drive fast time-to-credentialing metrics.
Serve as the primary bridge between providers, health plans, billing, and client success teams.
Nadia Care reimagines maternity care for underserved communities, providing trust-based engagement and wrap-around support for expectant mothers. Our growing team of empathetic professionals collaborates to improve pregnancy, birth, and postpartum outcomes.
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.
Manage standard onboarding workflows for physical therapist enrollment across contracted payers and partner networks.
Review provider credentials, prepare application packets, and maintain accurate database records for compliant credentialing.
Communicate with insurance carriers and internal teams to ensure timely enrollment and resolve routine barriers.
Luna is revolutionizing the delivery of physical therapy by providing in-home care through a digital platform. As a start-up with supportive leadership, they offer opportunities for growth alongside a dedicated team.
Own the multi-state licensing roadmap and execute applications and renewals for clinicians across MD, DO, NP, and RN pathways.
Manage payer credentialing strategy, including CAQH profiles, commercial payer applications, and Medicare enrollment via PECOS.
Support clinical operations compliance, including scope of practice, collaborative agreements, and prescriptive authority tracking.
Daymark Health is a value-based oncology company redefining the cancer care experience for patients, providers, and health plans. The company is backed by leading venture firms and led by a team of pioneers in oncology and value-based care.
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.
Verify healthcare providers' credentials, including licensure, education, training, and certifications.
Maintain accurate and up-to-date credentialing records for all healthcare professionals.
Ensure compliance with regulatory standards and accreditation requirements.
Allevio empowers healthcare practice owners by removing operational and administrative roadblocks to patient care. They are a team passionate about helping clinics thrive and offer tailored solutions for efficiency and growth.
Own the end-to-end credentialing and multi-state licensing process, including policies and procedures.
Oversee provider onboarding and offboarding, driving license and credentialing applications to completion.
Manage delegated credentialing programs and health plan audits, ensuring compliance with state and federal regulations.
Galileo is a team-based medical practice working to improve the quality and affordability of health care for all. Founded by healthcare pioneer Dr. Tom X. Lee, they are a team of leading innovators from healthcare, technology, and human-centered design.
Review facility credentialing applications for accuracy and completeness based on applicable standards.
Communicate with facilities to resolve discrepancies and obtain missing information.
Manage data entry, monitor compliance, and prepare reports for the Credentialing Committee.
Curana Health is a national leader in value-based care for senior living communities and skilled nursing facilities. Founded in 2021, the company serves 200,000+ seniors across 1,500+ communities in 32 states with a team of over 1,000 clinicians and professionals, and was ranked #147 on the Inc. 5000 list.
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.
Collect, verify, and submit information necessary for enrollment of hospitals/physicians with Out-of-State Medicaid payers.
Develop and maintain ongoing policies and procedures specific to each state for new hospital/physician enrollments.
Manage work queue to ensure all timely submissions and deadlines of payor-specific forms and documents.
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 recipient of the Top Workplaces award, recognized as Black Book's #1 Specialty Revenue Cycle Management provider in 2024, and has been among the top one percent of Inc. 5000 fastest-growing private companies for eleven years.
Protera Health is a health-tech startup transforming the delivery of musculoskeletal (MSK) care through a multidisciplinary approach and patient tracking technology. Founded by orthopedic surgeons and value-based care experts, it is a growing team that emphasizes collaboration, innovation, and a patient-first culture.
Process and maintain accurate Medicare enrollment and disenrollment requests, ensuring compliance with CMS regulations.
Reconcile membership reports and resolve enrollment system rejections, building case files for CMS approval.
Mentor junior team members and collaborate on special projects, including process documentation and quality reviews.
HealthEdge provides AI-powered operational infrastructure for health insurance companies, aiming to modernize operations and improve competitiveness. UST HealthProof, a fast-growing company, focuses on reducing administrative costs and improving healthcare experiences, led by seasoned leaders fostering a supportive, growth-oriented environment.
Recruit, contract, and maintain a Medicare-compliant provider network of physicians and ancillary healthcare providers within assigned geographies.
Clearly communicate contract terms, payment structures, and reimbursement rates to prospective and existing network providers.
Align contracting activities with departmental strategy and build long-term relationships with provider partners.
Curana Health is a national leader in value-based care, providing senior living communities and skilled nursing facilities with solutions like on-site primary care, Accountable Care Organizations, and Medicare Advantage Special Needs Plans. Founded in 2021, the company serves over 200,000 seniors in 1,500+ communities across 32 states, with a team of more than 1,000 clinicians and professionals, and was ranked #147 on the Inc. 5000 list of America's fastest-growing private companies.
Gather and maintain accurate provider data across multiple databases and systems.
Perform periodic provider data reconciliations with multiple data sources and generate reporting.
Support network development to ensure data integrity, accuracy, and completeness for network optimization.
Dignity Health Management Services builds a system-wide integrated physician-centric management service organization to coordinate patient care. As part of CommonSpirit Health, it offers a collaborative culture focused on improving quality of care and containing costs.
Maintain payer setup and readiness including fee schedules, EFT/ERA configuration, and portal access.
Interpret payer contracts and manuals to support clean claim submission and compliance.
Collaborate cross-functionally on special projects to improve payer compliance and documentation systems.
Expressable is a virtual speech therapy practice that transforms care delivery and expands access to high-quality services. The company is fast-growing and fully remote, serving thousands of clients since 2019 with a culture that values people and collaboration.