Contracting & Credentialing Specialist

sunriseunitedstatesinc; United States; On-site; USD 60,000 - 90,000; Full time

Job summary

Sunrise Group is seeking a Contracting & Credentialing Specialist to support credentialing, licensing, and payer contracting across the organization. You will ensure MD, APRN, RPSGT, RTT profiles and facilities are credentialed, licensed, re-credentialed, and contracted according to regulatory and payer requirements.

You’ll collaborate with internal teams, payers, and external agencies to enable timely onboarding and ongoing compliance, contributing to reliable access to sleep-care across all

Qualifications

• Bachelor's degree or equivalent experience.
• 3+ years of 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.

Responsibilities

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

Skills

Credentialing experience

Payer contracting

Multistate licensure

CAQH ProView

Credentialing workflows

Education

Bachelor's degree or equivalent experience

Tools

CAQH ProView

Payer portals

CMS knowledge

Job description

About Sunrise Group

Sunrise Group is building the future of sleep health by combining breakthrough technology with expert care. We started in 2015 with a straightforward idea: sleep diagnosis should happen in the comfort of your own home, not in a hospital. To make that possible, we created a first-of-its-kind chin sensor, carefully validated through clinical research, reviewed by leading sleep experts, and cleared by the FDA.

Since then, Sunrise Group has grown from a single innovation into a complete sleep health company. We now design advanced diagnostic and treatment solutions, and we deliver care directly to patients through Dreem Health , our digital sleep clinic. By serving patients in all 50 states with reimbursed care, we are making sleep treatment more accessible, more personal, and much simpler than it has ever been.

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 organizations 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 improve