Credentialing Specialist

The role

The Credentialing Specialist owns health plan enrollment applications for Medicaid and Commercial payors. This person manages states and health plans to ensure provider applications are completed and approved.

What you will do

• Complete health plan enrollment applications for both group and individual submissions across Medicaid and Commercial payers.
• Communicate directly with providers to gather necessary information for credentialing application submissions.
• Ensure adherence to application requirements to guarantee all required information is submitted to health plans
• Follow up on outstanding enrollments through phone, email, and portal to expedite provider enrollment approval
• Monitor application progress and propose solutions for resolving credentialing delays and rejections
• Track application progress and follow-ups directly in Salesforce

Required qualifications

• Bachelor's degree
• Work authorized in the United States
• native or bilingual English proficiency
• Familiarity with and willingness to use cloud-based communication software—Google Suite, Slack, Zoom, Dropbox, Salesforce

Nice to have

• 2+ years working in health plan enrollment
• Experience with Medicaid enrollment

Benefits

• comprehensive benefits to all full-time, exempt employees
• performance bonus
• stock options

About the company

Charlie Health delivers personalized, virtual care rooted in connection for people with complex mental health, substance use, and eating disorders. The organization aims to connect the world to life-saving behavioral health treatment.