About the Role
The Credentialing Specialist will be responsible for owning health plan enrollment applications across group and individual submissions for both Medicaid and Commercial payors. You will be responsible for owning states and health plans, ensuring that all new provider and health plan applications are completed and approved in a timely manner. Key responsibilities will include monitoring application progress and proposing solutions for resolving credentialing delays and rejections. Your attention to detail and proactive approach will be essential in facilitating a smooth enrollment process.
We’re a team of passionate, forward-thinking professionals eager to take on the challenge of the mental health crisis and play a formative role in providing life-saving solutions. If you’re inspired by our mission and energized by the opportunity to increase access to mental healthcare and impact millions of lives in a profound way, apply today.
Responsibilities
- 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
Qualifications
- Bachelor's degree
- 2+ years working in health plan enrollment is preferred
- Experience credentialing across multiple states as well as across Commercial and Medicaid payors
- Experience with state Medicaid enrollment is preferred
- Experience with delegated credentialing is a plus
- Work authorized in the United States and native or bilingual English proficiency
- Familiarity with and willingness to use cloud-based communication software—Google Suite, Slack, Zoom, Dropbox, Salesforce
Benefits
Charlie Health is pleased to offer comprehensive benefits to all full-time, exempt employees. Read more about our benefits here.
The total target base compensation for this role will be between $40,000 and $53,000 per year at the commencement of employment. In addition to base compensation, this role also offers a performance bonus. The expected total cash compensation range, including potential bonus, will be between $41,000 and $55,000 per year. Please note, pay will be determined on an individualized basis and will be impacted by location, experience, expertise, internal pay equity, and other relevant business considerations. Further, cash compensation is only part of the total compensation package, which, depending on the position, may include stock options and other Charlie Health-sponsored benefits. #LI-HYBRID
