Manage provider credentialing and enrollment processes to ensure compliance with NCQA, URAC, Joint Commission, CMS, and state regulations.
Oversee a team of specialists, monitor KPIs like "Days to Enroll," and resolve complex application rejections to protect cash flow.
Collaborate with Compliance, Billing, Legal, and Clinical teams to troubleshoot credentialing-related claim denials and maintain database accuracy.
Sleep Doctor is a trusted sleep health company helping millions get better rest through clinical expertise and consumer-first experiences. They foster a collaborative, growth-oriented culture where every team member contributes to bold solutions.
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 clinician onboarding by maintaining accurate ATS records and distributing required credentialing documentation.
Verify licenses, certifications, education, and background checks to ensure compliance with state, federal, and Joint Commission standards.
Track expiring credentials, communicate renewal requirements, and proactively manage compliance deadlines to maintain clinician eligibility.
International SOS Government Medical Services supports healthcare programs that improve patient care and operational readiness across the U.S. and internationally. Founded in 1984, the company operates in more than 90 countries, delivering healthcare, medical assistance, emergency response, and workforce support services worldwide.
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.
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 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.
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.
Advise and enroll qualified applicants into healthcare programs through supportive guidance.
Build relationships with prospective students via phone and email communications.
Maintain a thorough understanding of program objectives and enrollment processes.
West Coast University educates students seeking careers in healthcare. The university is a certified Great Place to Work with a student-centric, collaborative culture.
Initiate and handle outbound and inbound calls to set appointments and conduct interviews with prospective learners, guiding them through the Discover, Commit, Start Application journey.
Provide daily activity reports, generate leads through referrals, and maintain accurate records in the learner management system while ensuring compliance with accreditation standards.
Review applicant documentation and eLearn assessments to determine suitability for admission, collaborating with other functions to deliver high-quality enrollment support.
Nightingale Education Group is a healthcare education institution focused on higher learning in healthcare professions, using a blended-distance learning platform to transform rural health landscapes. The company has graduated nearly 5,000 nurses and fosters a community built around shared purpose and professional development.
Serve as the primary point of contact for providers and Medicare contractors, responding to inquiries via phone, written, and electronic channels.
Maintain knowledge of contract requirements, develop professional relationships, and educate providers on proper protocols and appeal rights.
Perform research, due diligence, and data entry to resolve complex issues, while notifying management of escalated concerns.
Machinify is a leading healthcare intelligence company delivering value, transparency, and efficiency to health plan clients. Deployed by over 85 health plans, including many of the top 20, and representing more than 270 million lives, the company combines an AI-powered platform with best-in-class expertise.
Manage end-to-end payer enrollment for providers across commercial, Medicare, and Medicaid health plans.
Support provider licensing operations including new applications, renewals, and compliance activities.
Collaborate with internal teams and external partners to ensure timely credentialing and minimize patient care delays.
Oshi Health is a virtual digestive health practice transforming GI care by combining compassionate, multidisciplinary care with innovative technology. The company is a remote-first, mission-driven startup focused on revolutionizing how chronic digestive conditions are diagnosed and managed, with a culture emphasizing respect and inclusion.
Design and launch credentialing workflows, quality standards, and operational processes from the ground up.
Manage the complete credentialing lifecycle including payer enrollment, CAQH management, and compliance monitoring.
Recruit, train, and lead credentialing specialists to scale the service while maintaining accuracy and reliability.
This partner company specializes in healthcare credentialing and revenue cycle management. They offer a dynamic, globally distributed team culture with a focus on efficiency and compliance.
Empower students from enrollment through graduation by providing concierge-level support and proactive outreach.
Manage a high volume of inbound and outbound calls, texts, and virtual advising appointments to guide students.
Partner with students to interpret academic requirements, select courses, and co-create term-specific academic plans.
University of Maryland Global Campus (UMGC) is a public university that provides online and hybrid education to adult learners worldwide. UMGC employs a large staff and fosters a fast-paced, technology-driven culture focused on student success.
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.
Review BCBA and behavioral health provider credentialing packets for completeness, accuracy, and primary source verification.
Conduct routine and ad hoc audits of delegated credentialing files to ensure compliance with payer, accreditation, and regulatory requirements.
Support pre-delegation and annual delegation audits, maintain tracking systems, and collaborate with teams to improve processes.
The partner company focuses on improving access to high-quality behavioral healthcare services through credentialing and provider network management. They operate in a mission-driven remote environment with a collaborative team culture committed to innovation and quality.
Build and run customer support for enterprise partnerships, handling compliance-driven flows with precision and fast resolution.
Be hands-on from day one: resolve tickets, refine knowledge base, and scale through internal hires or BPO partners.
Report to Head of Product, ensuring customer voice shapes product improvements and operational processes.
Bastion builds regulated financial infrastructure for modern businesses, offering stablecoin issuance, custodial wallet infrastructure, and global asset conversion rails. The company is a fast-paced startup with a compliance-first culture, seeking a hands-on leader to build and run customer support operations.
Act as a central coordination point for vendor, client, insurance, and security compliance, ensuring data accuracy and regulatory alignment.
Manage onboarding workflows, including vendor submissions, client data collection, and system updates in SharePoint and internal platforms.
Prepare insurance certificates, clearance docs, and support the Security Clearances team with compliance documentation.
Jobgether is a platform that uses AI-powered matching to connect candidates with hiring companies. The partner company is a dynamic consulting environment with a collaborative, process-driven culture, where you'll work across finance, safety, IT, and risk functions.
Submit and track provider enrollments across Medicare/Medicaid and commercial payers to secure effective dates.
Maintain CAQH attestations and accurate provider data across payer portals and internal credentialing systems.
Assist with onboarding new providers and respond to payer requests to resolve application issues.
Metro Vein Centers is a rapidly growing healthcare practice specializing in state-of-the-art vein treatments. With over 70 clinics across 8 states and a Net Promoter Score of 93, they are committed to compassionate, patient-first care.
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.
Provide frontline virtual or telephonic support to clients and healthcare professionals.
Document and report Information Requests, Adverse Events, and Product Quality Complaints.
Ensure compliance with FDA regulations, HIPAA, and company policies.
Inizio is a pharmaceutical services company providing medical information and patient support. They are a large organization committed to building a diverse, inclusive workforce and fostering a culture of leadership and collaboration.