Credentialing Specialist

The role

You will lead and support all aspects of provider credentialing. This includes managing Medicare enrollment via PECOS, Medicare Advantage plans, and maintaining CAQH profiles.

What you will do

• Lead the full credentialing lifecycle for new and existing providers and practice locations.
• Ensure CAQH profiles are complete, current, and accurate.
• Assess current credentialing processes and implement improvements using Airtable and automation tools.
• Write, maintain, and iterate standard operating procedures for credentialing functions.
• Track credentialing status, re-credentialing deadlines, notices, and plan requirements.
• Partner with Clinical Operations, Payer Strategy, and Provider Growth teams.
• Serve as a credentialing point of contact for providers and internal teams.

Required qualifications

• 3+ years of direct experience in provider enrollment and credentialing, including both group and individual provider enrollments.
• Extensive experience working with PECOS enrollments, I&A, and request for corrections.
• Prior work with Medicare Advantage health plans and credentialing requirements.
• Comfortable learning and using tools such as Airtable, credentialing automation software, and common office/productivity apps.
• Impeccable attention to detail.
• Experience building SOPs and improving operational workflows.
• Able to work cross-functionally and communicate clearly with internal teams and external partners.

Benefits

• Competitive salary
• Comprehensive benefits, including medical insurance
• Flexible PTO and sick days

About the company

Sailor Health is building the platform for senior mental health, connecting older adults, therapists, healthcare professionals, and insurance plans.