Lead a production-focused pod of Operations Analysts and Credentialing Specialists, owning day-to-day credentialing operations.
Drive team performance by monitoring speed, quality, and efficiency metrics, ensuring SLAs are consistently met.
Coach, mentor, and train team members, conducting daily standups and weekly performance reviews.
CertifyOS builds the data infrastructure for modern healthcare, automating provider licensing, credentialing, and network monitoring. It is backed by leading investors and values authenticity, accountability, collaboration, results, and openness to feedback.
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.
Oversee credentialing workflows, quality, and compliance standards to ensure provider satisfaction and regulatory adherence.
Develop effective credentialing strategies based on data analysis, regulatory requirements, and operational observations.
Manage credentialing staff, provide coaching and feedback, and drive turnaround time improvement initiatives.
Sutherland is a global digital transformation company combining AI, automation, cloud engineering, and advanced analytics for iconic brands. It creates over 200 inventions and pairs human expertise with AI to unlock performance and deliver measurable results.
Manage day-to-day credentialing workflows and lead data analysis projects for payer enrollment.
Conduct routine audits of task boards and triage inquiries to improve process efficiency.
Develop and distribute reporting on credentialing status for cross-functional stakeholders.
Natera is a global leader in cell-free DNA testing, dedicated to oncology, women's health, and organ health. The company comprises highly dedicated professionals from world-class institutions, who care deeply for their work and each other, fostering a culture that values hard work and growth.
Serve as a supportive point of contact for onboarding providers, guiding them through paperwork and expectations.
Collect, verify, and review provider credentials, applications, and CAQH profiles for accuracy and completeness.
Maintain tracking records, update internal databases, and collaborate with cross-functional teams to meet provider start dates.
Privia Health is a technology-driven, national physician enablement company that partners with medical groups, health plans, and health systems to optimize practices and improve patient care. The company is led by top industry talent and exceptional physician leadership, with a culture that encourages employees to bring their whole selves to work.
Manage end-to-end facility credentialing and privileging for providers across SNFs nationwide.
Prepare and track credentialing applications, facility packets, and compliance files.
Coordinate with facilities to resolve credentialing, access, and EMR issues in a timely manner.
Limitlessli specializes in recruiting, hiring, and managing high-caliber remote staff for healthcare facilities, leveraging a global network to connect clients with qualified professionals. The company offers a flexible remote work environment where employees collaborate with an international team and contribute to a growing business.
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.
Complete credentialing and re-credentialing applications for physicians, ancillary providers, and facilities with third-party payers and governmental programs.
Partner with client liaisons and payers to manage enrollment status, follow up on applications, and communicate updates to providers and clients.
BerryDunn is a professional services firm providing tax, advisory, and consulting services to businesses, nonprofits, and government agencies across the US. The firm is known for its client-centered, people-first culture and commitment to diversity, learning, and well-being.
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.
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.
Support development and maintenance of implementation materials, including policies, procedures, and operational documentation.
Review member and provider materials to identify inconsistencies, quality issues, and compliance gaps.
Collaborate with senior process improvement professionals and cross-functional teams to create scalable, repeatable processes.
This company supports Medicaid implementation and operational readiness across new state markets. It is a partner organization with a remote, collaborative culture focused on quality, compliance, and continuous improvement.
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.
Review psychiatric clinical documentation against Headway's quality standards to ensure safe, evidence-based care.
Provide coaching and remediation to providers on documentation and clinical decision-making.
Work with AI-assisted review tools to evaluate outputs and improve quality rubrics.
Headway builds software that helps mental health providers manage their practices and accept insurance, making therapy more accessible. They are a Series D company with $325M+ in funding, supporting over 75,000 providers across all 50 states.
Execute day-to-day provider enrollment, credentialing, and licensing tasks under the guidance of Specialists and Team Leads.
Accurately input, maintain, and update provider data across credentialing databases and internal systems.
Identify and escalate issues, discrepancies, or complex cases to the appropriate team member in a timely manner.
Allara is a comprehensive women’s health provider specializing in expert, longitudinal care for hormonal, metabolic, and reproductive health. It is one of the fastest-growing women’s health platforms in the U.S., with a mission-driven, collaborative culture focused on bridging gaps in healthcare.
Manage standard onboarding workflows for physical therapist enrollment across contracted payers and partner networks.
Review provider credentials, prepare application packets, and maintain accurate database records for compliant credentialing.
Communicate with insurance carriers and internal teams to ensure timely enrollment and resolve routine barriers.
Luna is revolutionizing the delivery of physical therapy by providing in-home care through a digital platform. As a start-up with supportive leadership, they offer opportunities for growth alongside a dedicated team.
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.
Lead client discovery and workflow planning to assess and improve referral management processes.
Deliver practical, role-based training for clinical and operational teams on Carefeed's Referral Management module.
Manage implementation through go-live, coordinate milestones, and support early adoption.
Carefeed helps senior living and long-term care organizations simplify operations, improve communication, and give staff more time to focus on care. It is a fast-growing startup with a culture that values growth and development.
Manage caregiver documentation and coordinate required training for a U.S. healthcare staffing agency.
Collect certifications, forms, and training records, and keep online caregiver profiles accurate.
Schedule training and follow up with caregivers to confirm attendance and completion of paperwork.
My Hero VA connects skilled virtual assistants with businesses needing remote support. Their client is a U.S. healthcare staffing agency, and they value organized, detail-oriented professionals who can work independently.
Oversee delegated audits related to UM, Credentialing, Claims, Enrollment, and Appeals processes to ensure compliance with payer contracts.
Educate staff, update policies and workflows, and act as a liaison between payers and local market leadership during audits.
Operationalize regulatory communications from governing bodies and document process changes for upstream and downstream teams.
Dignity Health Management Services offers integrated management and business services to healthcare providers, focusing on managed care administrative and clinical services to contain costs and improve quality. It is part of CommonSpirit Health, a large health system with a mission-driven culture centered on community and patient care.
Perform concurrent medical record reviews on nursing units to clarify patient documentation.
Prompt physicians to resolve missing, unclear, or conflicting documentation for appropriate reimbursement.
Provide education to patient care providers on clinical documentation standards and coding requirements.
Virginia Mason Franciscan Health provides a full spectrum of health care services across the Puget Sound region, with a legacy of compassionate care and innovation. With 10 hospitals and nearly 300 care sites, the organization is dedicated to healing the whole person through rigorous research, education, and collaboration.