Source Job

Global

  • 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.

Provider Enrollment Payer Enrollment Medicare Medicaid Credentialing

20 jobs similar to Provider Enrollment Specialist

Jobs ranked by similarity.

US 4w PTO 14w maternity 12w paternity

  • Manage end-to-end credentialing and recredentialing processes for healthcare providers.
  • Coordinate payer enrollment applications and ensure timely processing across commercial and government payers.
  • Maintain accurate credentialing files in compliance with regulatory standards and support cross-functional teams.

Knownwell is a weight-inclusive healthcare provider offering obesity care, primary care, nutrition counseling, and health coaching. Backed by $50M in funding from investors like CVS Health Ventures and a16z, they are scaling fast to expand access to evidence-based obesity care nationwide.

US Unlimited PTO

  • Collect, verify, and maintain provider credentials such as education, licensure, and malpractice insurance.
  • Enroll providers with Medicare, Medicaid, and commercial insurance payers.
  • Maintain provider profiles in CAQH and track credential expiration dates for timely renewals.

Foodsmart is a telenutrition and foodcare solution backed by a network of Registered Dietitians, guiding 2.2 million members toward healthier food choices. The company is a remote-first team with a mission-driven culture and recently secured a $200 million investment from TPG's Rise Fund.

US

  • Enroll practitioners in health plans accurately and timely, monitoring progress and ensuring completion.
  • Validate and maintain provider enrollment forms, applications, and tracking systems.
  • Communicate with internal teams to meet enrollment goals and target start dates.

Pediatrix Medical Group is one of the nation's largest providers of prenatal, neonatal and pediatric services. With a focus on team approach, the company is home to a diverse group of business professionals dedicated to improving patient lives.

US Unlimited PTO

  • Manage end-to-end credentialing and payer enrollment activities with minimal supervision.
  • Ensure provider readiness, accurate records, and compliant documentation across multiple systems.
  • Serve as a knowledgeable resource for less experienced team members and support cross-functional processes.

Our partner is a healthcare organization focused on credentialing and provider network management. They offer a mission-driven, inclusive environment with a focus on collaboration and continuous learning.

US

  • Manage provider credentialing, licensing, and payer enrollment activities from application through completion.
  • Research and resolve non-routine credentialing and provider data discrepancies, ensuring compliance.
  • Maintain accurate provider records, monitor deadlines, and communicate with stakeholders to prevent delays.

The company is a partner organization that manages hiring for healthcare credentialing roles. They operate remotely and foster a collaborative, deadline-driven culture focused on compliance and operational excellence.

US

  • Manage provider credentialing, recredentialing, and enrollment processes including application review and verification.
  • Maintain credentialing files, databases, and tracking systems for license renewals, certifications, and DEA registrations.
  • Apply for provider participation with insurance networks, Medicare, Medicaid, and other payer panels, monitoring application status.

Wellpath provides healthcare to underserved and vulnerable populations, including those in correctional facilities. With a large team and a people-first culture, they emphasize compassion, collaboration, and innovation in their mission to heal the world.

US

  • Manage the end-to-end credentialing process for assigned therapists, ensuring compliance with all requirements.
  • Review credentialing documents, complete primary source verifications, and maintain accurate records in multiple systems.
  • Partner with cross-functional teams to resolve issues and support timely onboarding.

Luna is revolutionizing the delivery of physical therapy by providing in-home care. The company is a start-up with a supportive leadership culture that offers opportunities for growth.

US

  • Lead a pod of Credentialing or Enrollments Associates, setting priorities and ensuring quality.
  • Own complex payer enrollment and credentialing programs end to end.
  • Build scalable workflows and use metrics to manage capacity and execution risk.

Nourish is an AI-native digital health clinic that connects patients with dietitians and provides insurance-covered metabolic care. Founded four years ago, it has completed millions of appointments, tripled year-over-year, and partnered with health plans covering 200M+ Americans, with $215M in total funding.

US Unlimited PTO

  • Build and strengthen credentialing structures to ensure timely and compliant provider credentialing.
  • Serve as subject matter expert for payer enrollments with health plans.
  • Coach and lead a team of specialists to achieve performance standards.

We are a comprehensive women's health provider specializing in expert, longitudinal care for women. Trusted by over 60,000 women, we are one of the fastest-growing women's health platforms in the U.S.

US Unlimited PTO

  • 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.

US

  • Support all aspects of credentialing and state licensing for the Medical Team, including Nurse Practitioners and Registered Nurses.
  • Maintain accurate provider credentials, ensure ongoing compliance, and contribute to departmental goals.
  • Manage credentialing files, perform primary source verifications, and obtain new/renewed state licenses.

Meds.com is a rapidly growing consumer technology firm operating healthcare businesses like BlueChew & MOD, aiming to better patients' lives through innovative solutions. With a team of 350 professionals, they've built scalable pharmacy, telemedicine, and e-commerce platforms using cutting-edge technology.

Massachusetts

  • Work one-on-one with MassHealth members to complete applications and renewals, gather documents, and resolve eligibility issues.
  • Own patient cases from start to finish, supporting renewal campaigns and helping patients understand notices.
  • Spot patterns in patient issues and bring insights to the product team to improve our technology.

BridgeHealthAI builds technology for the healthcare safety net, working with community health centers to help patients maintain health coverage. We are a small, fast-moving team founded out of Harvard and MIT, backed by Pear VC and Flare Capital, focused on healthcare, AI, and health equity.

US

  • Coordinate high-volume recruitment for physicians, nurse practitioners, and therapists across multiple specialties and states.
  • Draft and post job opportunities, screen resumes, and manage provider candidates in the applicant tracking system.
  • Develop sourcing strategies, conduct initial outreach, and guide candidates through the full-cycle recruiting process with transparency and care.

TeleMed2U is a technology-enabled healthcare services company that increases access to specialty care nationwide through virtual healthcare solutions. Since 2011, they have focused on patient-centered innovation and provider collaboration, with a team dedicated to breaking down barriers to care.

$68,890–$92,138/yr
North Carolina

  • Manage provider network activities, including onboarding, maintenance, and relationship support.
  • Serve as primary contact for assigned providers, addressing inquiries and resolving issues.
  • Analyze network data, identify trends, and recommend improvements to enhance access and quality.

Jobgether is an AI-powered job matching platform that connects candidates with hiring companies. They use technology to streamline recruitment and match top talent with relevant roles.

$44,000–$52,000/yr
US

  • Eligibility Review: Review patient records and clinical documentation to determine eligibility for Form Health.
  • Record Collection: Manage requesting, faxing, and tracking medical records from external providers while ensuring HIPAA compliance.
  • File Communication: Maintain clear communication with patients and colleagues to keep them updated throughout the eligibility process.

Form Health is a virtual obesity medicine clinic that provides multi-disciplinary evidence-based obesity treatment through telemedicine. Founded in 2019, it is a venture-backed startup with an experienced clinical and leadership team, committed to a culture of inclusion and patient-first values.

Global

  • Manage electronic provider records to ensure accuracy, timeliness, and compliance with internal and external standards.
  • Handle licensing applications including DEA, CSR, and state licensure from start to finish, coordinating with providers and boards.
  • Communicate effectively with providers, state licensing boards, and agencies to facilitate timely credentialing and renewals.

Sevaro is a leading tele-neurology company that focuses on delivering innovative healthcare solutions to patients across the globe. The company culture emphasizes efficiency, compliance, and proactive collaboration in medical staff services.

US

  • Own the end-to-end cycle of licensing applications for new and existing providers across the U.S., ensuring all requirements are met.
  • Develop SOPs for new state or provider licensing and streamline existing processes with automation and optimizations.
  • Provide direct support to providers and collaborate with cross-functional teams on licensing communications and updates.

Nourish is an AI-native digital health system that matches patients with Registered Dietitians, physicians, medications, and lab testing to deliver insurance-covered care across all 50 states. Founded four years ago, the company has completed millions of appointments, tripled year-over-year, and raised $215M in funding, seeking high-talent, resilient, and ego-free individuals.

US

  • Deliver comprehensive virtual care via scheduled and on-demand phone or video visits.
  • Manage chronic conditions, perform evaluations, and build strong patient rapport.
  • Accurately document medical records in EHR and maintain compliance with telehealth requirements.

CareTalk Health is a fully remote, nationwide virtual medical practice partnering with Medicare Advantage plans to deliver Annual Wellness Visits and close care gaps. They are a collaborative virtual care team supporting efficient, high-quality care delivery.

  • Submit and track prior authorization requests across multiple insurance payers
  • Gather and review clinical documentation required to support authorization requests
  • Follow up with payers on pending requests and monitor authorization status through resolution

Raventra Health is a medical services company providing outsourced billing, coding, and claims processing solutions for provider groups and hospitals. The company operates with a fully remote workforce and emphasizes a detail-oriented, collaborative culture.

US

  • Handle inbound and outbound calls with prospective DSNP Medicare members, focused on sales, education, and enrollment.
  • Guide individuals through Dual Special Needs Plan options, helping them understand Medicare and Medicaid benefits and eligibility.
  • Meet performance expectations around sales goals, call quality, conversion metrics, and schedule adherence.

Connexion Point, an Integrity Marketing company, specializes in customized contact center services connecting healthcare consumers to their providers. They are one of the fastest-growing companies in the US, headquartered in Sandy, Utah, and emphasize a supportive, family-like culture.