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US 16w maternity 16w paternity

  • Manage a team of licensing and credentialing specialists, overseeing end-to-end provider enrollment with states and health plans.
  • Own the enrollment strategy across clinical specialties, payers, and geographic states to ensure coverage for midlife patients.
  • Leverage data to proactively identify gaps in process and clinician coverage, driving process improvements.

Healthcare Operations Provider Enrollment Project Management People Management Cross-functional Collaboration

20 jobs similar to Manager, Provider Enrollment and Licensing

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$55,000–$65,000/yr
US 16w maternity 16w paternity

  • Own the end-to-end process for enrolling new providers with health plan partners.
  • Work closely with new clinical hires and third-party vendor to manage license applications and renewals.
  • Identify opportunities to improve licensing, credentialing, and enrollment processes to shorten time for clinicians to start seeing patients.

Pomelo Care is a virtual medical practice providing proactive, 24/7 clinical care for women and children across pregnancy, postpartum, pediatrics, menopause, and perimenopause. The company is a well-funded startup with a collaborative, data-driven culture focused on improving outcomes for all mothers and babies.

US Unlimited PTO 16w maternity 8w paternity

  • Own end-to-end provider onboarding, credentialing, and recredentialing workflows.
  • Prepare and submit state licensing and payor enrollment applications.
  • Maintain compliance records and communicate status updates to stakeholders.

Sprinter Health brings healthcare directly to patients' homes, aiming to improve access to preventive and chronic care. The company has supported over 2 million patients across 22 states, raised over $125M, and maintains a 92 NPS with a team of clinicians, technologists, and operators.

$90,000–$110,000/yr
US 3w PTO

  • Lead end-to-end provider onboarding and offboarding, including license pathways, compact assessments, and payer enrollments.
  • Oversee multi-state licensing, credentialing, and payer enrollment operations to prevent lapses and ensure compliance.
  • Manage and coach the L&C team, drive process improvements, and accelerate onboarding timelines.

Synapticure is a specialty care and life sciences company focused on neurodegenerative diseases like Alzheimer's, Parkinson's, and ALS. Founded by patients and caregivers, it operates a remote-first, 50-state clinical network and research engine with a culture of empathy, curiosity, and action.

$250,000–$270,000/yr
US 16w maternity 16w paternity

  • Define the vision, strategy, metrics, and operating cadence for the full provider lifecycle.
  • Design clinician compensation models and incentive structures that balance network scaling with gross margins.
  • Partner with Recruiting to develop systems and tools to attract and convert clinicians at scale.

Pomelo Care is a leading virtual medical practice providing care for women and children across pregnancy, postpartum, pediatrics, menopause, and perimenopause. It is a well-funded startup with a collaborative, patient-first culture and a team of clinicians, technologists, and operators.

$52,200–$58,000/yr
US

  • Support the full credentialing lifecycle, from initial applications to renewals and ongoing maintenance.
  • Manage provider enrollment processes with payers, including application submission, follow-up, and status tracking.
  • Keep provider records accurate and audit-ready while ensuring compliance with regulatory standards.

Thyme Care is a market-leading value-based oncology care enabler that partners with health plans, providers, and employers to improve outcomes for people with cancer. It is a tech-native startup that values human connection, diversity, and inclusion.

US 4w PTO 12w maternity 12w paternity

  • Lead the administrative engine behind payer contracts, membership, payment distribution, and client services for IPA operations.
  • Partner with IPA leadership and cross-functional teams to drive strategic initiatives and value-based care performance.
  • Mentor and manage a team including Operations Specialists and Membership Associates, while coordinating payer meetings and reporting.

Aledade PBC is a public benefit corporation that empowers independent primary care practices to thrive in value-based care. Founded in 2014, it has grown into the largest network of independent primary care in the U.S., with a collaborative, remote-first culture.

US

  • Own the credentialing function, leading a team of twenty across four stages of the lifecycle.
  • Drive time-to-enrolled metrics, rebuild processes, and build controls to remove single points of failure.
  • Collaborate cross-functionally with Practice Success, revenue cycle, payer contracting, HR, and compliance.

Finni Health empowers autism care providers to start, run, and grow their own practices. We are a rapidly growing startup backed by top-tier investors, seeking driven individuals for a fast-paced environment.

US

  • Manage a queue of licensing requests, ensuring accuracy and compliance with state requirements.
  • Review and quality-check license applications and primary source verifications, submitting them as needed.
  • Communicate with providers, clients, and internal teams to resolve deficiencies and support timely licensure.

Medallion builds a provider operations platform that automates licensing, credentialing, payer enrollment, and compliance monitoring for healthcare organizations. As one of the fastest-growing healthcare technology companies, Medallion is backed by $130M in funding from top investors and recognized as a great place to work.

Global 18w maternity 16w paternity

  • Lead global provider recruitment to scale network coverage while maintaining quality and cost efficiency.
  • Partner with legal, credentialing, and analytics teams for compliant international hiring strategies.
  • Coach team members and implement AI tools to optimize workflows and increase throughput.

Spring Health is a global mental health company using an AI-native platform to deliver personalized care across coaching, therapy, and medication management. Its platform reaches over 170 million people worldwide, and the culture emphasizes using AI tools thoughtfully while applying human judgment.

$75,000–$75,000/yr
US Unlimited PTO

  • Own clinical scheduling on an eight-week cycle and manage provider coverage across multiple states.
  • Oversee payroll reviews, provider onboarding logistics, and vendor configurations across healthcare platforms.
  • Collaborate with clinical leadership to resolve escalations, streamline workflows, and build scalable operational processes.

A virtual healthcare organization focused on reproductive and sexual health. A growing, mission-driven team committed to accessible and equitable virtual care.

US

  • Prepare and review credentialing and recredentialing applications, provider updates, termination letters, and TIN change documents.
  • Conduct biweekly follow-up with payers, track application progress, and maintain detailed records in internal systems and dashboards.
  • Support team projects such as new provider onboarding, payer roster updates, and quality reviews while protecting confidential information.

Specialty Dental Brands is a dental support organization that partners with pediatric dentistry, orthodontics, and oral surgery practices across the country, empowering teams with technology, resources, and support. The company values a people-first culture, collaboration, continuous learning, and creating positive experiences for providers, practices, and employees.

$80,000–$90,000/yr
US

  • Build and maintain a network of specialist consultants and physicians to refer patients to clinical studies.
  • Identify opportunities to expand the local physician database and increase practices working with Care Access.
  • Maintain strong relationships with physicians and ensure high-quality customer service across the region.

Care Access brings clinical research and health services directly to communities through hundreds of locations and mobile clinics. They are dedicated to making the future of health better and more accessible for all.

US

  • Manage benefit eligibility checks and prior authorization requests end-to-end.
  • Coordinate staffing, shipping, and document follow-up with provider offices and partners.
  • Build and improve workflows for member activation in a fully remote setting.

Leap is a benefits solutions company pioneering employer specialty pharmacy, reshaping how life-changing therapies are delivered and financed. They partner with Fortune 500 companies and leading TPAs, and are building an outlier company with focus, energy, and commitment.

$180,000–$210,000/yr
US 16w maternity 16w paternity

  • Run launch plans for new payer or employer partners, scoping work, setting timelines, and tracking dependencies across teams.
  • Translate contract terms into the technical stack and define success for each partner, building reporting and dashboards.
  • Turn launch learnings into standard processes, templates, and product requirements to make implementations faster.

Pomelo Care is a leading virtual medical practice for women and children, providing care across pregnancy, postpartum, pediatrics, and menopause. They are a well-funded startup with a team of clinicians, technologists, operators, and problem-solvers working to make high-quality care more accessible for families nationwide.

$126,300–$173,700/yr
US

  • Manage a large operations team supporting VA CCN Credentialing and Provider Data Loading.
  • Define operational strategy and align priorities with business goals for efficient, cost-effective infrastructure.
  • Collaborate across Provider teams and Humana Military to improve manual work, enhance data quality, and guide automation priorities.

Humana is a leading U.S. healthcare company offering insurance and healthcare services through its Humana Insurance and CenterWell brands. It is a large organization focused on improving health outcomes and supporting associates with competitive benefits.

$80,000–$110,000/yr
US

  • Manage administrative and scheduling support for the CareMind Inpatient practice, including provider onboarding, training, and credentialing.
  • Develop staffing models, create 90-day schedules, and coordinate with payroll for accurate provider pay.
  • Track provider PTO, oversee FPPE/OPPE reviews, and ensure performance against outcome measures.

CareMind Health is a captive clinical services entity of Mindoula Health and a national provider of virtual psychiatry and behavioral health care. We are a patient-centered team focused on supporting mental health and delivering comprehensive solutions for hospitals and partners.

US Unlimited PTO

  • Drive provider experience strategy, roadmap, and release planning.
  • Partner with engineering, design, and operations to build and launch features.
  • Measure success metrics and drive adoption across health systems.

Parachute Health is a digital ordering platform for medical equipment and supplies, connecting health systems, suppliers, and clinicians. This remote-first startup has served 15M+ patients and connects 300,000+ clinicians across all 50 states.

US Unlimited PTO

  • Oversee all contracted specialty care roles including Doulas, RDs, and IBCLCs, ensuring documentation, credentialing, and compliance.
  • Lead contractor performance, charting audits, and invoice reviews while coordinating with LCE and regional managers.
  • Manage doula matching, active labor on-call coverage, and recruitment events to support member birth support.

Nadia Care is reimagining maternity care to improve pregnancy, birth, and postpartum outcomes for expectant moms, especially those in underserved communities. Our team focuses on trust-based engagement and wrap-around support, leveraging technology to meet moms where they are. We are a hypergrowth startup with a collaborative and resilient culture.

$78,000–$83,000/yr
US 16w maternity 16w paternity

  • Provide 24/7 virtual clinical care and conduct ongoing assessments for maternal-child health patients.
  • Reduce care gaps and triage urgent concerns, educating patients on remote monitoring equipment.
  • Respond to abnormal diagnostics, document all care, and escalate to multidisciplinary teams as needed.

Pomelo Care is a virtual medical practice for women and children, offering care across pregnancy, postpartum, pediatrics, menopause, and perimenopause. The team includes clinicians, technologists, and operators working to make high-quality care accessible nationwide.

$60,000–$70,000/yr
US

  • Make 50+ outbound calls per day to prospective patients and caregivers to introduce Daymark's services.
  • Guide patients through the enrollment process, surfacing goals and concerns to tailor support.
  • Respond to inbound communications, triage requests, and ensure patients are connected to the right team members.

Daymark Health is a value-based oncology company redefining the cancer care experience through a personalized platform and hybrid care model. The startup is led by pioneers in oncology and backed by major investors, with a mission-driven culture focused on transforming patient outcomes.