Credentialing & Enrollments Lead – Remote

Nourish, Inc.; New York (NY); Hybrid; USD 90,000 - 130,000; Full time

Job summary

Nourish, Inc. is seeking a Credentialing / Enrollments Lead to own day‑to‑day credentialing operations for a growing provider network.

You will translate strategy into an operating plan, oversee a virtual assistant team, and ensure quality, compliance, and scalable workflows across payers and providers. You will build SOPs, monitor metrics, and coordinate with Product, Engineering, Finance, and Clinical Ops to support rapid growth toward 25,000+ providers.

Qualifications

• You have approximately 5–9 years of experience in payer enrollment, credentialing, provider operations, healthcare operations, or a closely related field for Registered Dietitians.
• You have meaningful credentialing domain depth across payer enrollment, provider onboarding, ongoing monitoring, delegated credentialing, accreditation, or related workflows.
• You have demonstrated people‑leadership experience, including setting priorities, directing work, giving feedback, managing performance, and developing team members.
• You have owned complex operational programs with rigorous quality, compliance, documentation, and deadline requirements.
• You use metrics to manage capacity, throughput, quality, timeliness, and execution risk.
• You are a strong written and verbal communicator who can simplify complex operational or regulatory issues for different audiences.
• You are tech‑savvy and have experience improving processes through tooling, automation, or partnership with Product and Engineering.
• You are flexible, adaptable, and effective in fast‑changing conditions.

Responsibilities

• Develop and support a pod of New Bets Credentialing or Enrollments Associates or Senior Associates, setting priorities, clarifying ownership and deadlines, reviewing work quality, giving feedback, and holding the team accountable for outcomes.
• Direct virtual‑assistant capacity supporting the pod, including work allocation, training, quality assurance, and performance monitoring.
• Own complex credentialing programs end to end, including payer enrollments, workflows for credentialing Medical Doctors, Nurse Practitioners and Therapists, ongoing monitoring, and delegated credentialing operations.
• Build and maintain clear SOPs, operating cadences, quality controls, documentation standards, escalation paths, and audit‑ready records.
• Use metrics to manage capacity, throughput, timeliness, quality, provider experience, and execution risk; identify gaps early and lead practical improvement plans.
• Investigate ambiguous payer, provider, or operational issues using data and primary sources; make sound tradeoffs across speed, compliance, provider experience, business impact, and cost.
• Design scalable workflows and recommend tooling, automation, and ownership improvements in partnership with Product, Engineering, Payer Ops, Finance, RCM, Clinical Ops, and Customer Experience.
• Serve as the day‑to‑day escalation point for the area you own, resolving blockers independently and escalating material risks with clear recommendations.
• Communicate decisions, owners, deadlines, risks, and next steps clearly to team members, leaders, payers, providers, and cross‑functional partners.
• Build team capability by coaching associates into stronger owners and future leaders while ensuring reliable delivery against goals.

Skills

People leadership

Credentialing

Payer enrollment

Provider operations

Data analysis

Process improvement

SOPs

Cross-functional collaboration

Communication

Job description

Nourish, Inc. is seeking a Credentialing / Enrollments Lead to own day‑to‑day credentialing operations for a growing provider network.

You will translate strategy into an operating plan, oversee a virtual assistant team, and ensure quality, compliance, and scalable workflows across payers and providers. You will build SOPs, monitor metrics, and coordinate with Product, Engineering, Finance, and Clinical Ops to support rapid growth toward 25,000+ providers.