Usenourish
Credentialing / Enrollment Senior Associate
Remote. Posted 2 months ago
The role
The Credentialing / Enrollment Senior Associate supports credentialing and payer enrollment operations. This role involves maintaining workflows, developing new processes, and working cross-functionally with RCM, Payer Ops, Clinical Ops, and Customer Experience teams.
What you will do
- Assist in building the credentialing program for the Nourish network of Medical Doctors, Nurse Practitioners, Therapists and RDs.
- Own the end-to-end cycle of payer enrollment applications for new and existing providers under our contracts.
- Support efforts to streamline existing credentialing processes by providing suggestions for automation or new tools.
- Develop SOPs for payer enrollments processes or provider credentialing and own implementation.
- Assist in managing/uptraining our contract credentialing team.
- Help track credentialing / payer enrollments metrics and report on progress.
- Provide direct support to our dietitians and payers and manage all RD credentialing communications.
- Communicate effectively with cross-functional teams to share updates and gather input.
Required qualifications
- 3+ years of experience in a payer enrollment and/or credentialing role.
- Familiarity with payer enrollment and credentialing processes and payer and accreditation requirements across provider types including Registered Dietitians, Medical Doctors, Nurse Practitioners, and
- Effective communicator.
- Meticulously organized and detail-oriented.
- Tech-savvy and open to learning and using new technologies.
- Flexible and adaptable when facing new challenges and circumstances.
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.