Sr. Credentialing & Enrollment Specialist

The role

You will improve the Provider experience by ensuring timely and accurate credentialing and enrollment. You will scope enrollment requirements, submit applications, and guide Providers through the process while collaborating with cross-functional teams.

What you will do

• Scope enrollment requirements for new payer implementations
• Submit applications
• Guide Providers through each step of the process
• Collaborate with cross-functional teams to support new payer launches
• Share operational insights
• Educate and support credentialing and enrollment associates

Required qualifications

• 3+ years of experience within the healthcare setting, working with or for health insurance plans, networks, or credentialing verification organizations
• 2+ years of experience enrolling providers with regional or national payers
• Experience working collaboratively across teams cross-functionally (Account Delivery or Provider Success)
• Experience developing, documenting, and optimizing new processes into easy-to-understand documentation
• Proficiency in spreadsheets (Excel / Google Sheets)
• Proficiency in CRM / ticketing platforms (Salesforce, Zendesk)
• Ability to quickly adapt to and learn new software (e.g., Airtable, Certify)

Nice to have

• Experience working in a fast-paced environment, such as a startup or large healthcare system
• Experience enrolling providers with regional or national payers (preferably behavioral health)
• Familiarity with CAQH, NPPES, CMS, & NCQA requirements
• Experience working with a Credentials Verification Organization (CVO)

Benefits

• 100% remote work environment
• Comprehensive health benefits: Medical, dental, vision, life, disability, and FSA/HSA
• 401(k) plan access
• Generous time-off policies including 2 company-wide shutdown weeks each year
• Paid parental leave
• Employee Assistance Program (EAP)
• Quarterly department stipend
• Community and employee resource groups
• New hire home office stipend
• $50 monthly stipend to help cover internet or cell phone expenses
• Wellness at Rula program
• $50/month wellness stipend

Before you apply

• Must be based in United States
• Currently not hiring in Hawaii

About the company

Rula is a remote-first company dedicated to treating the whole person and making mental health care more accessible. They aim to create a world where mental health is embraced as an integral part of overall well-being.