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Nourish

Credentialing / Enrollment Senior Associate

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

Senior Associate for credentialing and payer enrollment operations, requiring 3+ years of experience in a similar role. Must be familiar with payer enrollment and credentialing processes across various provider types. This role is open to remote or NYC-based candidates.

What you'll do

  • [ If Credentialing Senior Associate ] Assist in building the credentialing program for the Nourish network of Medical Doctors, Nurse Practitioners, Therapists and RDs.
  • [ If Enrollment Senior Associate ] Own the end-to-end cycle of payer enrollment applications for new and existing providers under our contracts, ensuring all requirements are met for successful enrollment.
  • Support efforts to streamline existing credentialing processes by providing suggestions for automation or new tools, optimizing individual steps, and ensuring smooth workflows.
  • Develop SOPs (detailed guides) for payer enrollments processes or provider credentialing, and own the implementation across the team.
  • Assist in managing/uptraining our contract credentialing team.
  • Help track credentialing / payer enrollments metrics and report on progress, roadblocks, and other updates; provide suggestions on how to make our reporting more robust & actionable.
  • Provide direct support to our dietitians and payers, and own/manage all RD credentialing communications.
  • Communicate effectively with cross-functional teams to share updates, reprioritize work, and gather input as needed.

What they require

  • You have 3+ years of experience in a payer enrollment and/or credentialing role.
  • You are familiar with payer enrollment and credentialing processes and payer and accreditation requirements, across provider types, including Registered Dietitians, Medical Doctors, Nurse Practitioners, and therapists .
  • You are an effective communicator and enjoy collaborating with people across different roles and teams.
  • You are meticulously organized and detail-oriented.
  • You are tech-savvy and open to learning and using new technologies.
  • You are flexible and adaptable when facing new challenges and circumstances.

nonprofit organization from South Africa

🇺🇸 United StatesHealthcareStartupnourish.org.za
Salary not disclosed