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.
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.
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.
Manage end-to-end provider credentialing and payer enrollment processes across multiple states.
Ensure compliance with government and commercial payer requirements to minimize claim denials.
Serve as a subject matter expert, supporting team training and process improvements.
The company operates a nationwide virtual healthcare network, focusing on transforming cardiovascular care delivery. The team is mission-driven and values innovation, collaboration, and continuous improvement.
Oversee the processing of initial payer applications to ensure compliance with accreditation standards and regulations.
Maintain and manage payer credentialing databases with accuracy and audit readiness.
Supervise payer credentialing staff by coordinating workloads, providing training, and monitoring performance.
Theoria Medical is a comprehensive medical group and technology company dedicated to serving patients across the care continuum with an emphasis on post-acute care and primary care. They serve facilities across the United States, offering multispecialty physician services, telemedicine, and remote patient monitoring.
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.
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.
Build, document, and maintain end-to-end SOPs for payer contracting, enrollment, and credentialing workflows.
Design quality controls and error-catching checkpoints that reduce rework and rejected applications.
Conduct persistent, proactive follow-up with payers to push applications through to approval.
Allara is a comprehensive women's health provider that specializes in expert, longitudinal care for women through every life stage. Trusted by over 60,000 women nationwide, Allara is one of the fastest-growing women's health platforms in the U.S., bridging gaps in healthcare for women.
Own and manage multi-state provider licensing, ensuring zero lapsed licenses.
Run the full new-state licensing process, including vendor and board communication.
Maintain a real-time system of record for provider license status and compliance.
Honeydew builds clinical infrastructure to connect patients with providers quickly and reliably. They have helped over 40,000 patients and are growing 5x year over year.
Oversee end-to-end health plan enrollment process and manage vendor performance.
Ensure accurate and timely processing of enrollment requests while maintaining compliance with SLAs.
Act as subject matter expert in payer enrollment requirements and resolve enrollment delays.
Medallion is a healthcare technology company that automates licensing, credentialing, and compliance monitoring for healthcare organizations. It is one of the fastest-growing healthcare technology companies, ranked #3 on Inc. Magazine's 2024 Fastest-Growing Private Companies in the Pacific Region and a Glassdoor Best Place to Work in 2024 & 2025.
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.
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.
Maintain and update licensing records in agency systems, ensuring compliance with state regulations.
Review license applications, resolve discrepancies, and prepare reports on licensing activity and compliance metrics.
Respond to inquiries via email, phone, and service tickets regarding licensing requirements and application status.
Ryan Specialty provides innovative solutions for insurance brokers, agents, and carriers. It has been recognized as a multi-time winner of Newsweek’s Most Loved Workplaces and Insurance Business’s Top Insurance Employers, offering a comprehensive benefits package and a collaborative culture.
Serve as the single point of accountability for all payor relationships, contracts, and negotiations across an assigned regional portfolio.
Own the full contract management and modeling function, including fee schedule updates, performance monitoring, and financial modeling.
Develop and execute a regional payor strategy aligned with enterprise growth targets and net revenue goals.
Metro Vein Centers is a rapidly growing healthcare practice specializing in state-of-the-art vein treatments with over 70 clinics across 8 states. We are building the future of vein care with a Net Promoter Score of 93, the highest patient satisfaction in the industry.