Credentialing & Enrollment Specialist

Charlie Health, Inc.; United States; On-site; USD 40,000 - 53,000; Full time

Job summary

A rapidly growing organization in the mental health field seeks a Credentialing Specialist to manage health plan enrollment applications. This role involves ensuring quick and accurate processing of applications for both Medicaid and Commercial payers, aiming to enhance access to crucial behavioral healthcare.

Benefits

Comprehensive benefits for full-time employees

Performance bonus

Qualifications

• 2+ years working in health plan enrollment preferred.
• Experience credentialing across multiple states and payors.
• Native or bilingual English proficiency.

Responsibilities

• Complete health plan enrollment applications.
• Monitor application progress and resolve delays.
• Communicate with providers to gather necessary information.

Skills

Attention to detail

Proactivity

Communication

Tools

Salesforce

Google Suite

Slack

Zoom

Dropbox

Job description

Millions of people across the country are navigating mental health conditions, substance use disorders, and eating disorders, but too often, they’re met with barriers to care. From limited local options and long wait times to treatment that lacks personalization, behavioral healthcare can leave people feeling unseen and unsupported.

Charlie Health exists to change that. Our mission is to connect the world to life-saving behavioral health treatment. We deliver personalized, virtual care rooted in connection—between clients and clinicians, care teams, loved ones, and the communities that support them. By focusing on people with complex needs, we’re expanding access to meaningful care and driving better outcomes from the comfort of home.

As a rapidly growing organization, we're reaching more communities every day and building a team that’s redefining what behavioral health treatment can look like. If you're ready to use your skills to drive lasting change and help more people access the care they deserve, we’d love to meet you.

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.

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

• 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

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-Remote

Our Values

• Congruence: Stay curious & heed the evidence.
• Commitment: Act with urgency & don’t give up.

Please do not call our public clinical admissions line in regard to this or any other job posting.

Please be cautious of potential recruitment fraud. If you are interested in exploring opportunities at Charlie Health, please go directly to our Careers Page: https://www.charliehealth.com/careers/current-openings. Charlie Health will never ask you to pay a fee or download software as part of the interview process with our company. In addition, Charlie Health will not ask for your personal banking information until you have signed an offer of employment and completed onboarding paperwork that is provided by our People Operations team. All communications with Charlie Health Talent and People Operations professionals will only be sent from @charliehealth.com email addresses. Legitimate emails will never originate from gmail.com, yahoo.com, or other commercial email services.

Recruiting agencies, please do not submit unsolicited referrals for this or any open role. We have a roster of agencies with whom we partner, and we will not pay any fee associated with unsolicited referrals.

At Charlie Health, we value being an Equal Opportunity Employer. We strive to cultivate an environment where individuals can be their authentic selves. Being an Equal Opportunity Employer means every member of our team feels as though they are supported and belong. We value diverse perspectives to help us provide essential mental health and substance use disorder treatments to all young people.

Charlie Health applicants are assessed solely on their qualifications for the role, without regard to disability or need for accommodation.

By submitting your application, you agree to receive SMS messages from Charlie Health regarding your application. Message and data rates may apply. Message frequency varies. You can reply STOP to opt out at any time. For help, reply HELP.

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