Review BCBA and behavioral health provider credentialing packets for completeness and accuracy.
Maintain audit tools, dashboards, and checklists to ensure compliance with regulatory standards.
Support training development and delivery for internal staff and delegated entities on credentialing requirements.
AnswersNow is trailblazing the future of autism therapy with an innovative virtual ABA therapy platform designed by clinicians. The team operates fully remote, fostering a culture of flexibility and impact.
Compile confidential data to facilitate customer decision-making for healthcare practitioners and providers.
Process and maintain credentialing files, ensuring compliance with federal, state, and NCQA standards.
Perform primary source verification and communicate data in a timely manner.
Symplr revolutionizes healthcare operations with a platform that drives effective workflows and improves clinical, financial, and quality outcomes. It is a remote-first company with employees across the US, India, and the Netherlands, focusing on teamwork, customer championing, and integrity.
Manage end-to-end delegated credentialing operations across an assigned portfolio of payors, including audits and compliance.
Serve as the primary point of contact for delegated payor relationships and resolve issues with cross-functional teams.
Prepare and execute credentialing audits, ensuring documentation meets NCQA and payor-specific standards.
Grow Therapy is a three-sided marketplace that empowers therapists, augments insurance payors, and serves patients, focusing on mental healthcare accessibility. They have raised over $328M in funding, including a Series D at a $3B valuation, and are building a mission-driven team.
Complete credentialing and re-credentialing applications for physicians, ancillary providers, and facilities with third-party payers and government programs.
Perform primary source verification services including license, malpractice, and work history verification.
Maintain CAQH profiles and credentialing databases, partner with client liaisons, and follow up with payers on submitted applications.
BerryDunn is a client-centered, people-first professional services firm providing tax, advisory, and consulting services since 1974. The firm is led by CEO Sarah Belliveau and is recognized for its diverse and inclusive workplace culture and focus on learning, development, and well-being.
Lead the full credentialing and recredentialing process for W-2 clinicians across multiple states and payer networks.
Develop and maintain credentialing policies aligned with NCQA, CMS, and state-specific guidelines.
Partner with recruiting, clinical operations, legal, and finance to ensure efficient onboarding and regulatory compliance.
Headlight is a mental healthcare company founded by psychiatrists, transforming access to care and delivery methods for clinicians. They are a growing organization with a collaborative culture, focusing on innovation and whole-person care.
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.
Complete enrollment and re-credentialing applications for physicians and providers with payers and government programs.
Perform primary source verification of licenses, malpractice, and work history and maintain CAQH profiles.
Partner with clients and payers to update enrollment status and communicate project status to leadership.
BerryDunn is a professional services firm that provides tax, advisory, and consulting services to businesses, nonprofits, and government agencies throughout the US and its territories. The firm is known for its diverse and inclusive workplace culture with a focus on learning, development, and well-being.
Support ongoing documentation quality monitoring by reviewing provider notes for clinical completeness, risk, and payor compliance.
Serve as a clinical point of contact for providers, conducting outreach on documentation best practices and supporting a culture of quality.
Support complaint, grievance, and payor quality review workflows, including intake, clinical review, and resolution documentation.
Grow Therapy is a three-sided marketplace that empowers therapists, augments insurance payors, and serves patients, addressing the need for accessible mental healthcare. Since launching in February 2021, they have empowered over ten thousand therapists and hundreds of thousands of clients, raising over $328 million in funding at a $3 billion valuation from top investors.
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.
Manage the credentialing process for clinical team members across multiple healthcare facilities.
Ensure all required documentation including licenses, certifications, and background checks is complete and up to date.
Serve as a point of contact between healthcare facilities and the credentialing team to address inquiries and provide updates.
VIC the PICC is a specialized healthcare provider focused on vascular access consulting services to acute care hospitals, skilled nursing facilities, and home healthcare. We emphasize a supportive culture with core values of integrity, respect, and compassion.
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.
Lead end-to-end payer enrollment and revalidation activities for behavioral health providers.
Provide day-to-day guidance, training, and support to enrollment specialists.
Act as primary point of contact with payer enrollment departments and credentialing vendors.
BetterHelp is the world's largest online therapy service, on a mission to make mental health care more accessible. Founded in 2013, we have a network of over 30,000 licensed therapists, and we deeply invest in our team's well-being and professional development.
Manages a remote team of behavioral health coding auditors, ensuring audit quality and team performance.
Serves as subject matter expert in behavioral health CPT coding, DSM-5 diagnostic coding, and payer requirements.
Drives operational strategy including capacity planning, staffing, and quality standards for behavioral health audit operations.
Machinify is a leading healthcare intelligence company delivering value and efficiency to health plan clients. Deployed by over 85 health plans, including many of the top 20, and representing over 270 million lives, they offer a flexible and trusting remote work environment.
Manage the full medical billing and Revenue Cycle Management (RCM) process, including AR follow-up and claim denial resolution.
Complete provider credentialing and recredentialing, verify insurance eligibility, and maintain accurate records within Athena.
Ensure HIPAA compliance and communicate with insurance companies regarding claims, credentialing, and payment issues.
SnappyCX connects skilled professionals with growing healthcare practices. They seek self-motivated individuals to support financial and administrative operations in a remote, fast-paced environment.
Manage end-to-end provider licensing workflows across multiple states, including initial applications and renewals.
Own payer enrollment processes for commercial and government payers from initial application through active status.
Build and maintain accurate tracking systems to monitor license and credential expiration dates, ensuring zero lapses.
Hey Jane provides safe, discreet medication abortion treatment and a range of reproductive and sexual health care services via your phone. We have helped over 100,000 people and have an in-house clinical care team of board certified doctors, nurses, and patient care advocates.
Support licensing activities for clinicians including physicians, nurse practitioners, and behavioral health providers.
Ensure successful completion of licensing plans and escalate issues that jeopardize success.
Collaborate cross-functionally to maintain accurate clinician information and improve licensing processes.
Included Health is a healthcare company delivering integrated virtual care and navigation. With a remote-first culture, we break down barriers to provide high-quality care for every person in every community.
Identify, research, process, and resolve customer inquiries regarding health insurance benefits, claims, and eligibility.
Analyze medical records and apply medical necessity criteria to determine the appropriateness of benefit requests.
Maintain accurate records, meet quality and timeliness standards, and coordinate with internal departments and external organizations.
Blue Cross Blue Shield of Arizona provides health insurance products and services to individuals, families, and businesses, aiming to inspire health and make it easy. The company has been recognized as a Healthiest Employer and has transformed healthcare for over 80 years with teams in Phoenix, Tucson, Chandler, and Flagstaff.
Provide telephonic and chat support, conducting clinical intakes and referring clients to appropriate resources.
Conduct assessments and apply coaching methodologies to develop tailored health strategies.
Maintain accurate documentation and adhere to confidentiality regulations.
ComPsych is the world's largest provider of mental health services, serving over 163 million individuals across 200 countries. The company is driven by innovation and employs a large workforce, providing services to 40% of the Fortune 500.
Build and maintain trust-based relationships with patients, providing longitudinal support and care coordination.
Screen patients for behavioral health symptoms and help them navigate services like therapy and psychiatry.
Use validated tools (PHQ-9, GAD-7) to monitor progress and adjust support strategies proactively.
Benchmark Health is a seed-stage, venture-backed public benefit corporation building a platform that connects people to behavioral health resources. Founded by serial entrepreneurs and psychiatrists, the company is a small startup with a mission to reimagine behavioral health at scale using AI.
Serve as primary coordinator for the Med-Psych Management Program, managing reports, member enrollment, and community resource databases.
Handle high-volume inbound communications and provide administrative support to ensure continuity of care.
Collaborate with internal teams and external partners to streamline workflows and act as a liaison between members and health plans.
Mindoula Health is a healthcare organization focused on behavioral health management, providing support through multidisciplinary teams and health plan partnerships. The company operates as part of a specialty population health management team with a culture that values collaboration and data-driven outcomes.