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Nourish

Credentialing / Enrollment Lead

RemoteUnited States only
Published
Role
Operations
Experience
Senior
Employment
Full-time
Salary not disclosed
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Open to US only. Set where you work from to check your eligibility.

No BS summary

Credentialing / Enrollment Lead with 5-9 years of experience in payer enrollment, credentialing, or healthcare operations, specifically for Registered Dietitians. This role requires demonstrated people-leadership experience, ownership of complex operational programs with rigorous quality and compliance, and the ability to use metrics for managing capacity and execution risk. Candidates must be tech-savvy and adaptable to fast-changing conditions.

What you'll do

  • Develop and support a pod of New Bets Credentialing or Enrollments Associates or Senior Associates, setting priorities, clarifying ownership and deadlines, reviewing work quality, giving feedback, and holding the team accountable for outcomes.
  • Direct virtual-assistant capacity supporting the pod, including work allocation, training, quality assurance, and performance monitoring.
  • Own complex credentialing programs end to end, including payer enrollments, workflows for credentialing Medical Doctors, Nurse Practitioners and Therapists, ongoing monitoring, and delegated credentialing operations.
  • Build and maintain clear SOPs, operating cadences, quality controls, documentation standards, escalation paths, and audit-ready records.
  • Use metrics to manage capacity, throughput, timeliness, quality, provider experience, and execution risk; identify gaps early and lead practical improvement plans.
  • Investigate ambiguous payer, provider, or operational issues using data and primary sources; make sound tradeoffs across speed, compliance, provider experience, business impact, and cost.
  • Design scalable workflows and recommend tooling, automation, and ownership improvements in partnership with Product, Engineering, Payer Ops, Finance, RCM, Clinical Ops, and Customer Experience.
  • Serve as the day-to-day escalation point for the area you own, resolving blockers independently and escalating material risks with clear recommendations.
  • Communicate decisions, owners, deadlines, risks, and next steps clearly to team members, leaders, payers, providers, and cross-functional partners.
  • Build team capability by coaching associates into stronger owners and future leaders while ensuring reliable delivery against goals.

What they require

  • You have approximately 5–9 years of experience in payer enrollment, credentialing, provider operations, healthcare operations, or a closely related field for Registered Dietitians
  • You have meaningful credentialing domain depth across payer enrollment, provider onboarding, ongoing monitoring, delegated credentialing, accreditation, or related workflows.
  • You have demonstrated people-leadership experience, including setting priorities, directing work, giving feedback, managing performance, and developing team members.
  • You have owned complex operational programs with rigorous quality, compliance, documentation, and deadline requirements.
  • You use metrics to manage capacity, throughput, quality, timeliness, and execution risk.
  • You are a strong written and verbal communicator who can simplify complex operational or regulatory issues for different audiences.
  • You are tech-savvy and have experience improving processes through tooling, automation, or partnership with Product and Engineering.
  • You are flexible, adaptable, and effective in fast-changing conditions.

nonprofit organization from South Africa

🇺🇸 United StatesHealthcareStartupnourish.org.za
Salary not disclosed