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.
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.
Manage provider data across health plans, including demographics, reimbursement rates, contracts, and key operational information.
Coordinate provider audits, credentialing activities, service and relationship processes, and contract management systems.
Oversee daily priorities for administrative teams and external vendors, using data analysis to improve provider network operations.
This healthcare organization supports provider network operations across health plans. They offer a collaborative, deadline-driven environment with a focus on independent work and analytical skills.
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.
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.
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.
Support day-to-day ACO REACH & LEAD processes, including Zendesk communications and Monday.com solutions.
Generate actionable reports from Medicare data and build decks for performance meetings using Tableau and Snowflake.
Act as a thought partner and advisor for special projects and cross-functional CMMI initiatives.
Aledade PBC empowers independent primary care practices to thrive in value-based care via technology and contracts. Founded in 2014, it is the largest independent primary care network in the US, with a collaborative, inclusive, remote-first culture.
Respond to service requests from internal and external customers accurately and on time.
Maintain case documentation with precision to keep records audit-ready.
Compile and distribute monthly reports and data summaries for leadership.
Personify Health offers a personalized health platform combining health plan administration, wellbeing solutions, and care navigation. The company serves employers and health plans with data-driven solutions, fostering a mission-driven culture focused on improving health outcomes.
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.
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.
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 operational projects end-to-end from planning through implementation and stabilization.
Drive efficiency initiatives focused on cost reduction, workflow optimization, and service improvements.
Coordinate cross-functional teams including Claims Operations, Finance, IT, Compliance, and external partners.
Personify Health provides a personalized health platform that combines health plan administration, wellbeing solutions, and care navigation. The mission-driven team serves employers and health plans with data-driven solutions to reduce costs and improve health outcomes.
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.
Supervise and train the credentialing associate team to ensure high performance.
Document and refine insurance credentialing workflows and processes.
Collaborate with the Credentialing Team Lead and partners to monitor metrics and resolve issues.
BetterHelp is the world's largest online therapy service, connecting millions of people with licensed therapists to make mental healthcare more accessible. As part of Teladoc Health, it offers startup energy with the support of a large company and a diverse, collaborative culture.
Own the analytical core of advisory engagements, from data collection through quantitative analysis and financial impact modeling.
Manage day-to-day project execution for 16-24 week engagements, including workplans, client meetings, and deliverables.
Support building and scaling new advisory offerings by capturing feedback and creating repeatable delivery assets.
MRO is a healthcare company providing clinical data registries and advisory solutions to improve performance. Its MRO Advisory Solutions team is expanding with a build-focused, collaborative culture.
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.
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.
Manage customer relationships to drive utilization of GHX Managed Services and ensure retention and satisfaction.
Lead implementation of managed services solutions, coordinating with cross-functional teams for successful projects.
Monitor customer performance metrics, resolve issues, and mentor team members to improve service delivery.
GHX is a healthcare business and data automation company that helps providers, manufacturers, and distributors improve supply chain efficiency and reduce costs through cloud-based technology. Privately owned and headquartered in Colorado, GHX employs more than 1,000 people across the US, Canada, and Europe.
Lead multiple concurrent projects through the full project life cycle, from requirements gathering to deployment and closure.
Identify opportunities to increase efficiency, improve service levels, and ensure regulatory compliance through enhanced operations.
Translate contracts, regulatory requirements, and business objectives into clear scope, milestones, and measurable outcomes.
Centene provides access to high-quality healthcare, innovative programs, and health solutions that help families and individuals get well, stay well, and be well. Centene is a large healthcare organization with a culture of purpose and diversity, offering comprehensive benefits and a flexible work environment.
Own end-to-end operation of the Comparion Advantage Program, including partner strategy, compensation, and performance metrics.
Collaborate with internal stakeholders, including regional leadership and agents, to align program with growth objectives.
Leverage data-driven insights and dashboards to drive decision-making and optimize referral quality and production.
Comparion, part of Liberty Mutual, manages a field partnership program that connects insurance agents with external partners to generate new business. The company values inclusion and offers comprehensive benefits, flexible work arrangements, and professional development opportunities.