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.
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.
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.
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.
Define and execute a holistic provider performance vision, establishing standardized frameworks across clinical service lines.
Lead, mentor, and build a high-performing operations team, setting high-impact priorities.
Partner with Data Analytics to build a unified data vision and establish centralized systems to measure provider performance.
Lyra Health is a leading provider of evidence-based mental health care, serving more than 20 million people globally. The company has delivered more than 15 million sessions of mental health care and published more than 35 peer-reviewed studies.
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.
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.
Own and evolve provider support workflows, automation, and data practices to enable provider success.
Partner with clinical leadership across the provider lifecycle from onboarding through retention.
Design systems and automation to reduce administrative burden and help prevent provider burnout.
They operate a high-impact telehealth platform focused on improving access to specialized care. The organization is growing and values operational excellence, clinician support, and innovation in workflow automation.
Lead a high-performing team of QA Specialists at the intersection of clinical precision and operational excellence.
Drive coding accuracy, build robust SOPs, and ensure full audit readiness for internal and external partners.
Translate QA findings into actionable insights and mentor team members to elevate compliance standards.
Aledade PBC empowers independent primary care through value-based care. Founded in 2014, it is the largest network of independent primary care in the country with a remote-first, inclusive culture.
Lead operations of the CDI team for prospective and concurrent chart review, ensuring quality, accuracy, and compliance.
Coach and develop specialists through onboarding, training, performance management, and workflow improvement.
Partner with physicians and operational teams to sustain accurate CMS-HCC documentation and audit readiness.
Greenbrook Medical delivers high-touch, relationship-based primary care for seniors through neighborhood clinics. They are in a growth phase, backed by strong unit economics and a culture of Heart, Excellence, Accountability, Resilience, and Teamwork.
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.
Owns the people-management engine behind the care team, ensuring hiring, training, and performance drive predictable outcomes.
Develops demand-per-member models that accurately allocate care team resources based on member complexity.
Designs and governs SOPs, SLAs, and algorithms that operationalize care team workflows system-wide.
Twin Health empowers people to improve and prevent chronic metabolic diseases like type 2 diabetes and obesity using AI Digital Twin technology. With over $100 million in funding, Twin is scaling rapidly across the US and globally, recognized as an innovator and top workplace.
Lead and develop a team of Board Certified Health Coaches through 1:1s, QA reviews, and performance management.
Design and deliver onboarding, continuing education, workshops, and coaching frameworks to improve quality.
Analyze coaching performance and member outcomes to drive operational improvements and cross-functional partnerships.
Future is building a personalized guidance system for lifelong health, combining AI, human expertise, and personal health data. They foster a diverse, passionate team and offer equity, benefits, and a remote-first culture.
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 clinical operations for management consultation, balancing a caseload with team oversight and complex case support.
Develop training, workflows, and SOPs while serving as a subject matter expert for customer-specific operations.
Coordinate queue assignments, track projects in Smartsheet, and ensure SLAs and quality targets are met.
Spring Health is a global mental health company using an AI-native platform to deliver personalized support across coaching, therapy, and medication management. It serves over 800 companies, has raised more than $370 million, and is valued at $2.5 billion.
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.
Lead, coach, and develop a team of Member Service Representatives to deliver exceptional member experiences.
Manage daily operations, including real-time queue management and quality assurance through call audits and calibrations.
Track performance metrics and drive continuous improvement using data from Salesforce, Zendesk, and Talkdesk.
Twin Health empowers people to prevent and reverse chronic metabolic diseases like type 2 diabetes using AI Digital Twin technology. The company is scaling rapidly with over $100 million in funding and has been named one of Newsweek's Top Most Loved Workplaces.
Take operational problems from roughly defined to fully optimized, owning the design and implementation.
Design and document operating procedures, define metrics, and ensure data integrity.
Partner with product, train teams, and hand off sustained processes with clear ownership.
Finni Health helps BCBAs go independent by providing infrastructure for credentialing, payer contracting, revenue cycle, HR, compliance, and software. They are a YC-backed, small team moving fast in a heavily regulated industry.
Owning client onboarding, operational support, and service delivery for assigned clients from go-live through steady state.
Managing delegated services including Eligibility, UM, PHM, Claims, Quality, CX, and Credentialing, ensuring compliance.
Tracking SLA performance, preparing report-outs, and serving as escalation owner for client operational issues.
Guidehealth is a data-powered healthcare company using AI and predictive analytics to make great healthcare affordable and improve patient outcomes. It is a physician-led, fully remote organization that values empathy, collaboration, and continuous learning.
Lead enterprise compliance program execution, including strategy, risk assessments, and policy governance.
Oversee compliance investigations, monitoring, auditing, and regulatory change management.
Provide guidance on federal and state healthcare regulations and emerging risks, partnering with senior leaders.
Oscar is a health insurance company built on a full-stack technology platform, focused on serving members. We started in 2012 and foster a culture of authenticity and belonging, with a mission to change healthcare.