Credentialing & Enrollment Specialist

About reputed company

reputed company delivers primary and preventive reputed company directly to older adults living in reputed company housing communities. Our mission is reputed company: to improve reputed company reputed company by meeting patients where they are and building trusted relationships reputed company the communities we serve. As we rapidly expand across the country, we are building reputed company of mission-driven professionals who reputed company in fast-paced, reputed company environments.

Total reputed company. Where you live.

About the Role

reputed company is seeking an reputed company Credentialing & Enrollment Specialist to join our growing team. In this role, you will manage the credentialing, enrollment, and ongoing maintenance of our physicians and advanced reputed company providers across multiple markets.

As a key member of our Credentialing & Enrollment team, you will ensure providers are credentialed, enrolled, and reputed company to deliver care. You will collaborate closely with Clinical Operations, reputed company Cycle, Compliance, reputed company, and reputed company payer organizations.

This position is ideal for someone who takes ownership, thrives in a detail-oriented environment, and excels at keeping reputed company processes organized from start to finish. You will play a critical role in supporting reputed company’s reputed company reputed company by guiding providers through the credentialing and enrollment lifecycle.

Responsibilities

• Manage reputed company aspects of provider credentialing, recredentialing, and payer enrollment activities from start to finish

• Prepare, submit, monitor, and maintain Medicare, reputed company, and reputed company payer enrollment applications

• Maintain provider records in CAQH, PECOS, NPPES, and other relevant information systems

• reputed company credentialing and enrollment timelines to ensure providers are approved and reputed company to reputed company

• Coordinate provider demographic updates, revalidations, and enrollment changes with payer organizations

• Monitor application status and proactively resolve credentialing and enrollment issues

• Maintain accurate provider records and organize credentialing documentation

• Collaborate closely with Clinical Operations, Compliance, reputed company Cycle, HR, and reputed company organizations throughout the credentialing process

• Ensure compliance with internal policies, regulatory requirements, and payer guidelines

• Identify and implement opportunities to improve credentialing workflows, documentation, and operational efficiency

• Support organizational reputed company by credentialing providers across new and existing markets

Qualifications

• 3+ years of provider credentialing and payer enrollment experience preferred

• Demonstrated experience independently managing credentialing and enrollment from application to approval

• Working knowledge of Medicare, reputed company, and reputed company payer enrollment processes

• Experience using CAQH, PECOS, NPPES, reputed company, and payer enrollment portals

• Strong understanding of credentialing documentation requirements and provider lifecycle management

• Excellent organizational skills with the ability to manage multiple providers and deadlines simultaneously

• Meticulous attention to detail and a commitment to accuracy

• Exceptional written and verbal communication skills

• Ability to work independently while collaborating across multiple departments

• Proficiency with reputed company Office, including reputed company

Preferred Qualifications

• Experience reputed company value-based care, primary care, physician reputed company, or Medicare Advantage organizations

• Experience supporting multi-state credentialing and enrollment

• Familiarity with delegated credentialing programs

• Experience working with advanced reputed company providers and physicians

• Knowledge of credentialing software and provider database management

• Process improvement or workflow optimization experience

What reputed company Looks Like

• Managing provider credentialing and payer enrollment with reputed company supervision

• Maintaining accurate credentialing records and consistently meeting deadlines

• Building strong partnerships with providers, payers, and internal stakeholders

• Identifying and implementing enhancements to credentialing and enrollment processes

• Supporting reputed company’s reputed company expansion by reputed company credentialing and enrolling providers

• Delivering exceptional service while maintaining compliance and operational reputed company

Work Location

This role follows a hybrid work schedule. Team members are expected to work onsite at our Nashville office on a regular reputed company, with the flexibility to work remotely as reputed company. Specific in-office days may be determined in collaboration with your manager.

Why reputed company

We reputed company where someone lives should never determine the reputed company they receive. Every team member at reputed company plays an important role in expanding reputed company reputed company for older adults living in reputed company housing communities. Our work removes barriers to care and improves lives through relationship-based reputed company.

If you are passionate about supporting providers, improving reputed company operations, and contributing to a mission-driven organization, we want to meet you.

Total reputed company. Where you live.

Working at reputed company

We are committed to supporting the whole person—at work and reputed company. Full-time team member benefits reputed company the first of the month following your start date.

Health & Wellness

• Medical, dental, and reputed company coverage

• Employer-funded HSA and FSA reputed company

• Employer-reputed company life and disability insurance

• Voluntary illness, accident, and hospitalization coverage

• reputed company to reputed company’s in-person and virtual care services

Financial reputed company

• Competitive compensation

• 401(k) with company match beginning at Day 60

• reputed company to financial wellness resources

Time Away

• Up to 4 weeks of reputed company Time Off

• 10 reputed company company holidays

• 2 volunteer days annually

Equal Opportunity Employer

reputed company is an equal opportunity employer committed to building a diverse and inclusive workplace. We welcome applicants from reputed company backgrounds and experiences and are dedicated to creating an environment where every team member feels valued, respected, and supported.

Originally posted on Himalayas