Credentialing Specialist

Charlie Health; United States; Teletrabalho; USD 40 000 - 53 000; Tempo integral

Resumo da oferta

Charlie Health, Inc. is seeking a Credentialing Specialist to own health plan enrollment applications for Medicaid and Commercial payors. You will manage state and health plan submissions, ensure timely completion, and monitor progress to resolve delays.

The role emphasizes attention to detail and proactive problem solving to smooth provider enrollment. Remote-friendly position in the United States, requiring a Bachelor's degree, 2+ years in health plan enrollment, Medicaid experience preferred,

Qualificações

• Bachelor’s degree required.
• 2+ years working in health plan enrollment preferred.
• Experience with Medicaid enrollment preferred.
• Must be work authorized in the United States and fluent in English.

Responsabilidades

• Complete health plan enrollment applications for group and individual submissions (Medicaid and Commercial).
• Communicate with providers to gather information for credentialing submissions.
• Ensure all required information is submitted to health plans.
• Follow up on enrollments via phone, email, and portal to expedite approvals.
• Monitor progress and propose solutions for delays and rejections.
• Track progress in Salesforce.

Conhecimentos

Health plan enrollment experience

Medicaid enrollment experience

English proficiency

Formação académica

Bachelor’s degree

Ferramentas

Google Suite

Slack

Zoom

Dropbox

Salesforce

Descrição da oferta de emprego

Why Charlie Health?

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. Monitoring application progress and proposing solutions for resolving credentialing delays and rejections will be key aspects of your responsibilities. 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

Requirements

• Bachelor’s degree
• 2+ years working in health plan enrollment is preferred
• Experience with Medicaid enrollment is preferred
• 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

Benefits

Charlie Health is pleased to offer comprehensive benefits to all full-time, exempt employees. Read more about our benefits here.

Please note that this role is not available to candidates inAlaska, Maine, Washington DC, New Jersey, California, New York, Massachusetts, Connecticut, Colorado, Washington State, Oregon, or Minnesota.

T__he 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

• Connection: Care deeply & inspire hope.
• 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.

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.