Usenourish

Credentialing / Enrollment Lead

Remote. Posted 2 months ago

The role

The Credentialing / Enrollments Lead will own day-to-day execution for a New Bets pod. You will translate strategy into operating plans and oversee virtual-assistant capacity to scale the provider network.

What you will do

  • Develop and support a pod of Associates or Senior Associates by setting priorities and reviewing work quality.
  • Direct virtual-assistant capacity including work allocation, training, and performance monitoring.
  • Own complex credentialing programs end to end including payer enrollments and workflows for various provider types.
  • Build and maintain SOPs, operating cadences, quality controls, and audit-ready records.
  • Use metrics to manage capacity, throughput, timeliness, quality, and execution risk.
  • Investigate ambiguous payer, provider, or operational issues using data.
  • Design scalable workflows and recommend tooling and automation in partnership with other departments.
  • Serve as the day-to-day escalation point for the owned area.
  • Communicate decisions, risks, and next steps to team members, leaders, payers, and providers.
  • Build team capability by coaching associates into stronger owners and future leaders.

Required qualifications

  • Approximately 5–9 years of experience in payer enrollment, credentialing, provider operations, healthcare operations, or a closely related field for Registered Dietitians
  • Meaningful credentialing domain depth across payer enrollment, provider onboarding, ongoing monitoring, delegated credentialing, accreditation, or related workflows
  • Demonstrated people-leadership experience including setting priorities, directing work, giving feedback, managing performance, and developing team members
  • Experience owning complex operational programs with rigorous quality, compliance, documentation, and deadline requirements
  • Experience using metrics to manage capacity, throughput, quality, timeliness, and execution risk
  • Strong written and verbal communicator
  • Tech-savvy with experience improving processes through tooling, automation, or partnership with Product and Engineering
  • Flexible, adaptable, and effective in fast-changing conditions

About the company

Nourish is a dietitian-led metabolic health clinic and AI-native digital health system. The company matches patients with Registered Dietitians, physicians, medications, lab testing, and AI agents.

Credentialing / Enrollment Lead at Usenourish | JobZoey