Contracting & Credentialing Specialist

Uncover; Northern (KY); Hybrid; USD 60,000 - 70,000; Full time

Benefits offered by this job

Comprehensive health benefits (medical

Dental & vision

401(k) with company match

20 days PTO + 10 holidays + 80 hours S

Monthly phone and internet stipend

Free One Medical membership

Job summary

Sunrise Group is hiring a Contracting & Credentialing Specialist to support credentialing, licensing and payer contracting for providers across the U.S. This hands-on role reports to the Sr. Manager, Contracting & Credentialing and collaborates with payers and internal teams.

You will ensure proper MD/APRN/RPSGT/RTT profiles and facilities credentialing, re-credentialing and contracting in line with regulatory requirements and standards.

Qualifications

• Minimum 3+ years in provider credentialing, licensing and/or managed care contracting.
• Experience with credentialing workflows and payer requirements.
• Knowledge of CAQH, payer portals and state regulatory standards.

Responsibilities

• Coordinate end-to-end provider credentialing and re-credentialing with commercial and government payers.
• Prepare, submit and track credentialing applications through CAQH and payer portals.
• Support contracting activities including data collection and follow-up.
• Submit licensing applications with multi-state boards and update leadership.
• Maintain credentialing files in compliance with regulatory standards.
• Monitor timelines and address delays or deficiencies proactively.
• Act as liaison between providers, internal teams and payers on credentialing status.
• Maintain credentialing databases and ensure data integrity.
• Assist with audits, reporting and credentialing metrics.
• Support licensing needs aligned with organizational growth.
• Stay current on payer requirements and regulatory changes.

Skills

Credentialing experience

Multi-state licensing

CAQH knowledge

Payer contracting

Education

Bachelor’s degree or equivalent

Tools

CAQH

Payer portals

State boards knowledge

CMS

Job description

About Dreem Health, by Sunrise

Dreem Health is America’s leading digital sleep clinic. Powered by Sunrise’s technology, Dreem Health makes sleep care simple — replacing long waits and in‑lab sleep studies with home‑based testing, expert telehealth visits, and personalized treatment plans that are easy for patients to follow. We’re fixing the broken sleep care journey and helping more people get the care they need — from home, on their schedule. Sleep is one of healthcare’s biggest blind spots. Access is slow, confusing and uneven, and millions of people who need help never get it. Sunrise exists to change that. Born from pioneering research on mandibular jaw movement, we built a chin‑based sleep test that reinvented how sleep disorders can be diagnosed from home. That breakthrough has evolved into a full sleep‑health platform: advanced diagnostic and treatment technology paired with clinical care delivered directly to patients’ homes through Dreem Health in all 50 U.S. states. Across the U.S. and Europe, our 100+ clinicians, engineers and operators share one mission: make high‑quality sleep care accessible to everyone. Backed by more than $50M, we’re taking on one of healthcare’s biggest challenges: the 1+ billion people worldwide who still can’t get the sleep care they need.

Your Opportunity

We’re hiring a Contracting & Credentialing Specialist who will be responsible for supporting all credentialing, licensing and payer contracting activities within the Managed Care Contracting & Credentialing Department. This role ensures MD, APRN, RPSGT, RTT profiles and facilities are appropriately credentialed and licensed (include Rx authority and autonomous practice when applicable), re‑credentialed, and contracted in compliance with regulatory, payer, and organizational requirements. This is a hands‑on role reporting directly to the Sr. Manager, Contracting & Credentialing, works closely with internal stakeholders, payers, and external agencies to support timely onboarding and ongoing compliance. At Sunrise Group, we work on a problem that affects millions: poor sleep and untreated sleep disorders. Our mission is to make diagnosis and care easier to access, and we’re proud of the experience we provide to patients. We feel responsible for making it better every day. If you’re looking for the autonomy to take ownership of your work, make an impact, and be part of a team where ideas move fast and everyone has a voice - this role is for you!

What You’ll Do

• Coordinate end‑to‑end provider credentialing and re‑credentialing processes with commercial and government payers, including application submission


• Prepare, submit, and track credentialing applications through CAQH and payer portals


• Support payer contracting activities, including data collection, application submission, and follow‑up


• Submit and follow up on licensing activities with multi‑state boards and provide update and visibility to leadership


• Maintain accurate provider credentialing files in accordance with regulatory and accreditation standards (federal, state and local regulations)


• Monitor credentialing timelines and proactively address delays or deficiencies


• Serve as a liaison between providers, internal departments, and payers regarding credentialing, licensing and contracting status


• Maintain credentialing databases and ensure data integrity across systems


• Assist with audits, reporting, and credentialing (licensing) metrics as requested


• Support licensing needs guided by the organization’s growth


• Stay current on payer requirements, regulatory changes, and industry best practices


• Provide administrative and project support to the Senior Manager of Contracting & Credentialing as needed

What You Bring

• Bachelor’s degree or equivalent experience preferred


• 3+ years of experience in provider credentialing, licensing and/or managed care contracting


• Sleep Clinic, Sleep device and Telehealth (multi‑state) experience is a plus


• Strong working knowledge of state boards, CAQH, payer portals, and credentialing workflows


• Familiarity with ACHC, AASM, CMS, and state regulatory requirements


• Strong attention to detail, organization, and follow‑up skills


• Ability to manage multiple priorities and deadlines in a fast‑paced environment


• Excellent written and verbal communication skills


• Credentialing certification (CPCS or CPMSM) a plus

Our Core Values

At Sunrise Group, we keep things clear and simple, value trust and collaboration, and lead with optimism and compassion. These values guide everything we do.

What We Offer

• Meaningful work that directly improves peoples’ lives


• Be part of an international team across the US, France, Belgium


• Annual team offsite


• Comprehensive health benefits (medical, dental, vision)


• FREE One Medical membership


• 401(k) with company match


• 20 days PTO + 10 paid holidays + 80 hours paid sick leave


• Monthly phone and internet stipend

Compensation $60,000 - $70,000 depending on experience. We hire humans, not bullet points. Don’t meet every single qualification? That’s okay. We care more about who you are than what’s on your CV. We’re looking for people who are curious, resourceful, and ready to roll up their sleeves — especially if you’re excited about building something new in healthcare.

Compensation Range - Depending on Experience $60,000 — $70,000 USD

Dreem Health / Sunrise is an Equal Opportunity Employer. We welcome people of all backgrounds and are committed to building a workplace where everyone feels included and respected. We do not tolerate discrimination or harassment of any kind.