Source Job

• Lead and supervise credentialing support staff, ensuring quality, accuracy, and timely processing of credentialing and enrollment tasks.
• Oversee provider credentialing, licensure, and internal enrollment with Medicare, Medicaid, Managed Care, and Commercial Plans.
• Maintain provider rosters, monitor license and certification renewals, and ensure compliance with regulatory and internal standards.

At Better Life Partners, we provide what it takes to heal from addiction. Wherever. Whenever. By combining virtual and in-person counseling, community support, and medication access.

• Ensuring providers are credentialed in a timely manner by monitoring the submission process.
• Monitoring submission processes, updating protocols, and managing Virtual Assistants/BPO.
• Communicating with payors and conducting regular reviews to validate internal credentialing data.

Grow Therapy aims to be the trusted partner for therapists growing their practice, and patients accessing high-quality care. They are a three-sided marketplace that empowers providers, augments insurance payors, and serves patients and have empowered more than ten thousand therapists.

• Lead the full credentialing lifecycle for new and existing providers and practice locations including Medicare and Medicare Advantage plans.
• Ensure CAQH profiles are complete, current, and accurately reflect provider credentials and practice information.
• Assess current credentialing processes, identify inefficiencies, and implement improvements using Airtable, automation tools, and best practices.

Sailor Health is on a mission to solve the mental health crisis among older adults, building the platform for senior mental health.

Oversee the operations of the Imagine Pediatrics Onboarding, Credentialing, Licensing, and Enrollment Department. Develop and train on policies and procedures, workflows, and training documentation for the team. Manage Delegated Credentialing arrangements - implementation and audit – as well as ongoing Delegated partnerships with health plans.

Imagine Pediatrics is a tech enabled, pediatrician led medical group reimagining care for children with special health care needs.

The Provider Enrollment Specialist is responsible for timely and effectively enrolling practitioners in health plans. The Specialist will monitor progress, ensure timeliness of enrollment completion, and provide updates. The Specialist will maintain accurate provider profiles in IntelliCred and CAQH.

Pediatrix Medical Group is one of the nation’s leading providers of specialized health care for women, babies and children since 1979.

• Lead the preparation and submission of comprehensive provider rosters to Managed Medicare, Medicaid, and commercial payers.
• Audit internal provider data against database records to ensure 100% accuracy before submission.
• Serve as the primary point of contact for health plans to resolve roster discrepancies, rejections, or paneling delays.

Privia Health is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems. The Privia Platform consists of scalable operations and end-to-end, cloud-based technology that reduces unnecessary healthcare costs.

Acts as key point of contact for the processing of enrollment applications for all providers. Works with System Credentialing and local medical staff contacts. Responsible for completing the ongoing review and attestation of all Munson Healthcare provider enrollment records.

Munson Healthcare is northern Michigan’s largest healthcare system, with eight award-winning community hospitals serving over half a million residents.

Timely complete new and renewing contract documents. Coordinate with management and other stakeholders on new payor contracts. Ensure ongoing maintenance of departmental database and demographic information.

VytlOne is the nation’s only independent, fully integrated total pharmacy solutions partner, offering mission-driven hospitals, health systems, and employer partners solutions.

• Execute the end-to-end HCP contracting workflow, including drafting agreements and managing approvals.
• Process all HCP payments and expense reimbursements accurately and timely.
• Serve as the primary operational point of contact for internal and external stakeholders regarding contract status and logistics.

Jobgether uses an AI-powered matching process to ensure applications are reviewed quickly, objectively, and fairly against the role's core requirements. Their system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company.

• Facilitate all aspects of required medical licensure for clinical personnel.
• Drive the licensing process in a proactive, organized and streamlined manner.
• Collaborate with credentialing, onboarding, and clinical teams.

Talkiatry is a national mental health practice co-founded by a patient and a triple-board-certified psychiatrist. They provide patients with the care they need and allow psychiatrists to focus on medicine with innovative technology and a human-centered philosophy.

Review, draft, negotiate, and track a variety of legal agreements, including confidentiality agreements and clinical study agreements. Work with the Clinical Operations study team to ensure deliverables align with defined study timelines. Ensure adherence to company policies, procedures, and contracting standards, and update relevant study team members on contract negotiation status.

Precision Medicine Group is an Equal Opportunity Employer, making employment decisions without regard to race, color, age, religion, sex, or other protected characteristics.

• Manage the day-to-day tasks of processing provider credentials, licenses and payor enrollment applications.
• Work cross-functionally with many teams to guarantee the smooth running of operations.
• Research, interpret, and evaluate information relevant to provider licensure and continuing medical education in the United States

CertifyOS is building the infrastructure that powers the next generation of provider data products, making healthcare more efficient, accessible, and innovative.