Credentialing & Payor Enrollment Analyst

Talenthop; United States; On-site; USD 68,000 - 83,000; Full time

Benefits offered by this job

Medical, dental, and vision insurance

PTO + 11 holidays annually

401(k) with company match

Parental leave policy

HSA/FSA contributions

Life insurance and disability coverage

Job summary

TalentHop is partnering with a healthcare organization to recruit a Credentialing & Payor Enrollment Analyst who will manage end-to-end credentialing, licensing, and payor enrollment. This role supports multi-state operations and timely reimbursement.

The ideal candidate has 5+ years in credentialing, licensing, and payor enrollment, strong CAQH experience, and meticulous, process-driven communication. Join a fast-growing startup environment.

Qualifications

• Minimum 5 years of experience in healthcare credentialing, licensing, and payor enrollment with multistate operations.
• Experience managing CAQH accounts.
• Strong attention to detail and ability to handle complex documentation workflows.
• Excellent organizational and time-management skills.
• Clear and structured communication abilities.
• Experience in startup or fast-paced healthcare environments.

Responsibilities

• Own end-to-end onboarding and recredentialing of healthcare providers.
• Collect and verify necessary documentation such as education, certifications, and malpractice coverage.
• Prepare and submit enrollment applications to payors and regulatory entities.
• Track application statuses and resolve issues proactively to avoid delays.
• Manage licensing applications and renewals across multiple jurisdictions.
• Monitor compliance deadlines and communicate with state boards and agencies.
• Submit payor enrollment and re-enrollment applications, including Medicare and Medicaid.
• Maintain accurate credentialing, licensing, and enrollment records.
• Communicate timelines and status updates clearly to stakeholders.
• Use structured workflows and identify process improvements to support growth.

Skills

Healthcare credentialing

Multistate operations

CAQH accounts

Attention to detail

Organizational skills

Time management

Clear communication

Tools

CAQH

Job description

The organization operates in the healthcare access space, addressing the challenge that nearly 30% of patients in the U.S. skip preventive or chronic care due to difficulties reaching a doctor's office. This leads many to use the emergency room as their initial healthcare touchpoint, contributing to over $300 billion in avoidable costs annually. By leveraging technology similar to leading marketplace and last-mile platforms, the program delivers care directly to patients’ homes, particularly serving those most in need. It has supported over 2 million patients across 22 states, conducted more than 130,000 in-home visits, and maintains a strong patient satisfaction score.

About the Opportunity:

The CREDENTIALING & PAYOR ENROLLMENT ANALYST plays a key role in ensuring healthcare providers are properly credentialed, licensed, and enrolled with payors to enable timely delivery of care and reimbursement. This position manages end-to-end workflows across credentialing, licensing, and payor enrollment, contributing directly to operational efficiency and the organization’s capacity to scale rapidly.

Responsibilities:

• Own end-to-end onboarding and recredentialing of healthcare providers
• Collect and verify necessary documentation such as education, certifications, and malpractice coverage
• Prepare and submit enrollment applications to payors and regulatory entities
• Track application statuses and resolve issues proactively to avoid delays
• Manage licensing applications and renewals across multiple jurisdictions
• Monitor compliance deadlines and communicate with state boards and agencies
• Submit payor enrollment and re-enrollment applications, including Medicare and Medicaid
• Maintain accurate credentialing, licensing, and enrollment records
• Communicate timelines and status updates clearly to stakeholders
• Use structured workflows and identify process improvements to support growth

Requirements:

• Minimum 5 years of experience in healthcare credentialing, licensing, and payor enrollment with multistate operations
• Experience managing CAQH accounts
• Strong attention to detail and ability to handle complex documentation workflows
• Excellent organizational and time-management skills
• Clear and structured communication abilities
• Experience in startup or fast-paced healthcare environments

Preferred Qualifications:

• Credentialing and enrollment experience with advanced practice providers or physicians
• Familiarity with commercial, Medicare, and Medicaid payors
• Experience supporting provider onboarding at scale
• Knowledge of credentialing platforms and compliance tools

Pay Range and Compensation Package:

• $75,000 annual salary
• Medical, dental, and vision insurance fully covered for employees and dependents
• Flexible paid time off plus 11 paid holidays annually
• 401(k) plan with company match
• Parental leave policy: 16 weeks for birthing parent, 8 weeks for other parents
• Health savings and flexible spending account contributions
• Life insurance and short and long-term disability coverage

Equal Opportunity Statement:

Our client is an equal opportunity employer. They celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, or national origin.

Note:

TalentHop is a recruitment partner of this role. Please note that all employment decisions, including candidate assessment, interviews, hiring, compensation, and employment terms, are made exclusively by the hiring employer.