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.
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.
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.
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.
Responsible for credentialing and recredentialing practitioner applicants to ensure regulatory compliance.
Conducts primary source verifications, reviews applications, and communicates with healthcare practitioners to obtain missing information.
Maintains credentialing database, monitors provider expirables, and assists with audit reviews.
Curana Health provides value-based care solutions, including on-site primary care, Accountable Care Organizations, and Medicare Advantage plans, to senior living communities and skilled nursing facilities. Founded in 2021, the company has grown to serve over 200,000 seniors across 1,500+ communities in 32 states, employing more than 1,000 clinicians and staff, and was ranked #147 on the Inc. 5000 list of fastest-growing private companies.
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.
Act as the main point of contact for VA HIMS staff and lead a remote coding team across eight facilities.
Assign work, monitor turnaround times, and conduct ongoing quality reviews of at least 5% of coded data.
Train coders on VA policies and VistA/CPRS workflows and prepare monthly and quarterly reports.
Aptive Resources provides healthcare staffing and program support to federal agencies, including coding services for Veterans Affairs medical centers. As part of a Service-Disabled, Veteran-Owned Small Business joint venture, the company emphasizes an agile, mission-focused, results-driven approach.
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.
Manage end-to-end credentialing and payer enrollment for behavioral health providers and facilities.
Serve as subject matter expert on credentialing requirements, ensuring timely and compliant files.
Coordinate with HR, Talent Acquisition, and leadership to facilitate provider onboarding and resolve issues.
We are a leading provider of immediate-access behavioral health crisis care. We are physician-led and data-driven, with over 15 years of crisis care expertise, recognized as a national best practice.
Manage a team delivering outsourced coding services to critical access hospitals and rural health clinics.
Ensure accurate and timely coding of medical records, compliance with ICD-10, CPT, and HCPCS guidelines.
Implement quality assurance audits, resolve coding discrepancies, and collaborate with providers and billing departments.
Tegria helps healthcare organizations improve care, technology, revenue, and operations, moving from patient-centered to human-centered. They have a diverse team of talented people who welcome challenge and change, fostering a culture of equity and inclusion.
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.
Assess clinical documentation for compliance with AMA and CMS coding guidelines.
Validate clinical documentation and evaluate accuracy and timeliness of the billing process.
Investigate and identify opportunities for improvement and provide education to providers and staff.
UnityPoint Health is a healthcare organization providing services across Iowa, Illinois, and Wisconsin. It is recognized as a top place to work in healthcare and fosters a culture of belonging, development, and total rewards.
Lead operations of the CDI team for prospective and concurrent chart review, ensuring quality, accuracy, and compliance.
Coach and develop specialists through onboarding, training, performance management, and workflow improvement.
Partner with physicians and operational teams to sustain accurate CMS-HCC documentation and audit readiness.
Greenbrook Medical delivers high-touch, relationship-based primary care for seniors through neighborhood clinics. They are in a growth phase, backed by strong unit economics and a culture of Heart, Excellence, Accountability, Resilience, and Teamwork.
Serve as subject matter expert for medical staff privileging, leading coordination and continuous improvement of processes to ensure regulatory compliance.
Lead development and maintenance of privilege delineation forms and criteria through research and interdisciplinary review.
Coordinate OPPE and FPPE programs, including metric development, data collection, and monitoring compliance with accreditation standards.
OHSU is Oregon's only public academic health center, providing patient care, groundbreaking research, and training for healthcare professionals. As Portland's largest employer, it offers learning opportunities and is committed to building an anti-racist, multicultural institution.
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.
Lead coding operations across a multi-specialty academic health system, including workflow, staffing, and capacity planning.
Guide and develop Coding Specialists and the Coder Auditor/Trainer team, fostering accountability, teamwork, and continuous learning.
Collaborate with Enterprise Coding leadership to improve coding quality, compliance, and operational performance.
OHSU is Oregon's only public academic health center, providing patient care, groundbreaking research, and training for the next generation of health care professionals. As Portland's largest employer, it offers opportunities to learn and advance within a system of hospitals and clinics across Oregon and Southwest Washington.
Monitor coding prevalence and ensure compliance with CMS audit processes.
Conduct provider and coder level reviews to ensure accurate risk adjustment data submission.
Maintain tracking tools and assist in RADV audits and corrective action plans.
Alignment Health is a healthcare organization dedicated to transforming senior care, focusing on the chronically ill and frail. The company is fast-growing with a passionate team united in the mission to put seniors first.
Assigns appropriate ICD-10-CM and CPT-4 codes to outpatient visit types with high accuracy.
Reviews medical records thoroughly and interprets documentation to select diagnoses and procedures.
Meets established coding productivity and quality standards (90% productivity, 95% accuracy).
Northwestern Medicine is a healthcare system focused on a patient-first approach to deliver better healthcare. They are a large organization that values employee well-being and offers competitive benefits like tuition reimbursement and 401(k) matching.
Own the multi-state licensing roadmap and execute applications and renewals for clinicians across MD, DO, NP, and RN pathways.
Manage payer credentialing strategy, including CAQH profiles, commercial payer applications, and Medicare enrollment via PECOS.
Support clinical operations compliance, including scope of practice, collaborative agreements, and prescriptive authority tracking.
Daymark Health is a value-based oncology company redefining the cancer care experience for patients, providers, and health plans. The company is backed by leading venture firms and led by a team of pioneers in oncology and value-based care.